What Is Nonacid Reflux Disease?

Proton pump inhibitors (PPIs) are the gold standard treatment for gastroesophageal reflux disease. In clinical practice, failure of PPIs occurs frequently, and may affect up to 30% of patients in a typical gastroenterology practice. Multichannel impedance monitoring combined with pH monitoring helps...

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Main Author: Martin A Storr
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2011/626752
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author Martin A Storr
author_facet Martin A Storr
author_sort Martin A Storr
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description Proton pump inhibitors (PPIs) are the gold standard treatment for gastroesophageal reflux disease. In clinical practice, failure of PPIs occurs frequently, and may affect up to 30% of patients in a typical gastroenterology practice. Multichannel impedance monitoring combined with pH monitoring helps to detect nonacid reflux, and if symptoms correlate with these nonacid reflux episodes, nonacid reflux disease can be diagnosed. In contrast to PPIs, reflux inhibitors target transient lower esophageal sphincter relaxations, which are involved in the pathophysiology of reflux disease and may be the appropriate future treatment for nonacid reflux disease. The present article discusses the current understanding of nonacid reflux disease, its diagnosis and treatment.
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spelling doaj-art-709aa6098e814d399e3d6ea6230e2b072025-08-20T03:34:01ZengWileyCanadian Journal of Gastroenterology0835-79002011-01-01251353810.1155/2011/626752What Is Nonacid Reflux Disease?Martin A Storr0University of Calgary Medical Clinic, Calgary, Alberta, CanadaProton pump inhibitors (PPIs) are the gold standard treatment for gastroesophageal reflux disease. In clinical practice, failure of PPIs occurs frequently, and may affect up to 30% of patients in a typical gastroenterology practice. Multichannel impedance monitoring combined with pH monitoring helps to detect nonacid reflux, and if symptoms correlate with these nonacid reflux episodes, nonacid reflux disease can be diagnosed. In contrast to PPIs, reflux inhibitors target transient lower esophageal sphincter relaxations, which are involved in the pathophysiology of reflux disease and may be the appropriate future treatment for nonacid reflux disease. The present article discusses the current understanding of nonacid reflux disease, its diagnosis and treatment.http://dx.doi.org/10.1155/2011/626752
spellingShingle Martin A Storr
What Is Nonacid Reflux Disease?
Canadian Journal of Gastroenterology
title What Is Nonacid Reflux Disease?
title_full What Is Nonacid Reflux Disease?
title_fullStr What Is Nonacid Reflux Disease?
title_full_unstemmed What Is Nonacid Reflux Disease?
title_short What Is Nonacid Reflux Disease?
title_sort what is nonacid reflux disease
url http://dx.doi.org/10.1155/2011/626752
work_keys_str_mv AT martinastorr whatisnonacidrefluxdisease