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Hindi Review Article
Updates on Management of GERD Disease
Iannetti A*Gastroenterologic Department, University of Rome “La Sapienza”, Italy
- *Corresponding Author:
- Antonio Iannetti
Honorary member of Unigastro (Italian Association of University Teachers of Gastroenterology)
Rome, Italy
Tel: +39 0686324653
Fax: +39 06 233297473
E-mail: antonio@iannetti.it
Received date: August 10, 2017; Accepted date: August 24, 2017; Published date: August 31, 2017
Citation: Iannetti A (2017) Updates on Management of GERD Disease. J Gastrointest Dig Syst 7:523. doi:10.4172/2161-069X.1000523
Copyright: © 2017 Iannetti A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Gastro-esophageal reflux disease is a very common disease. Natural history provides an alternative to wellness and reactivating the disease. The purpose of this article is to review the condition of gastroesophageal reflux disease. The article discusses the diagnostic methods, the clinical presentations and the higher incidence of atypical forms and high reflux symptoms. Many patients are not responding to therapy and those who respond to drugs become dependent on the cure. Medical therapy has some adverse events such as anemia, osteoporosis, and infections. Physiotherapy can be an alternative treatment that offers a temporal benefit.
Surgical therapy is performed with laparoscopy, which is less invasive than open procedure and reduces the time of stay. Endoscopic surgery is devoid of postoperative complications and is easily executable. It can be carried out with one day residency. The article outlines the various endoscopic techniques of recent years and reports scientific studies. From these it appears that the efficacy of endoscopic therapies for the treatment of GERD has not been documented with certainty. So, despite the dream of resolving gastroesophageal reflux with mini-invasive or, even better, endoscopic surgical procedures, the experience of real life teaches us that the medical therapy is effective in most cases and risk free, if the patient is followed closely.
