Treatment of gastroesophageal reflux disease, doctors rely on drugs sold by drug companies and the experience they encounter in the management of the symptoms of their patients. To standardize treatments, the American gastroenterological Association (AGA) Institute has issued guidelines for treatment based on evidence for better management of GERD.
In General, GERD is treated with conventional medications like antacids, agents of motility, histamine (H2) - receptor antagonists, inhibitors of pump protons or even according to the severity of the case that physicians consider surgery.
The publication contained five recommendations designed to guide doctors in the treatment of suspected cases of the reflux disease. The AGA sees the need for these guidelines in the absence of clinical trials of high-quality especially for conditions medical acute esophagus.
With the release of these updates to the recommendation, physicians will have a clearer perspective of properties healing related to some drugs of the drug. Whose objective is to provide the best solutions of treatment in the management of symptoms of GERD suspected problems.
Updated recommendations from AGM, are the following:
1. Raise the pump inhibitors proton (IPP) high level of efficiency as histamine (H2) - receptor antagonists in the treatment of GERD esophageal syndromes, such as esophagitis.
2. It's AVI AGA that long-term PPI use must be maintained for a longer period of time once it is proven clinically effective. However, the use of PPI should be adjusted or reduced based on the level of symptoms.
3. If a doctor comes to the conclusion that antireflux surgery treatment of PPI can offer the same efficiency in GERD esophageal syndrome, PPI treatment should be prescribed due to security problems. Although intervention antireflux surgery uses minimally invasive procedure (MIP), there are still questions of risks, complications and side effects involved. Examples are: the reactions to anaesthesia, infection, accumulation of gas or difficulty swallowing.
4. Antireflux surgery is the alternative to patients with GERD esophageal syndrome has a low level of acid suppressants drug intolerance.
5. Appropriate precautions should be given if two PPI is recommended to take daily to the suspected reflux chest pain. The contribution of two PPI should be recommended after causes heart problems have been carefully taken into account.
Management mentioned above GERD guidelines are based on the results of the technical reviewers of the AGA duly supported by evidence tested. As additional information about the AGM, is an association which was founded in 1897 by scientists and doctors whose objectives are to conduct research and disorders diagnosis which can assist in the healing of the gastrointestinal tract and liver related diseases.
