PMID- 11305152 OWN - NLM STAT- MEDLINE DCOM- 20010517 LR - 20131121 IS - 0040-5930 (Print) IS - 0040-5930 (Linking) VI - 58 IP - 3 DP - 2001 Mar TI - [Long-term results of conservative management of reflux esophagitis]. PG - 146-50 AB - Reflux esophagitis is a frequent and chronic disease. Impairment of the quality of life by the reflux symptoms and the risk of complications are the most important indications for a long-term treatment. The base of the treatment of reflux esophagitis is the inhibition of the gastric acid secretion with proton pump inhibitors (PPI) or by H2-receptor antagonist. In general, PPI's are more efficient in the treatment of refluxesophagitis as compared to H2-receptor antagonists blockers regarding the relieve of symptoms and the healing of erosive esophageal lesions. The use of an antacids and procinetics in the long-term treatment is not indicated. The treatment strategy depends on the severity of the symptoms and the esophageal lesions. Patient with mild esophagitis can be treated either with H2-receptor antagonists or with PPI's on demand or continuous. In the case of severe esophagitis, a long-term treatment with PPI's is indicated to avoid complications. Recurrence of esophagitis during a long-term therapy should be treated by PPI's. After healing the long-term treatment should be adapted either by increasing the given dose of the medicament or by a switch to more effective medicaments in acid suppression. FAU - Viani, F AU - Viani F AD - Abteilung fur Gastroenterologie, CHUV, Lausanne. FAU - Dorta, G AU - Dorta G LA - ger PT - English Abstract PT - Journal Article PT - Review TT - Langzeitergebnisse der konservativen Behandlung der Refluxosophagitis. PL - Switzerland TA - Ther Umsch JT - Therapeutische Umschau. Revue therapeutique JID - 0407224 RN - 0 (Anti-Ulcer Agents) RN - KG60484QX9 (Omeprazole) SB - IM MH - Age Factors MH - Anti-Ulcer Agents/adverse effects/*therapeutic use MH - Diet MH - Drug Therapy, Combination MH - Esophagitis, Peptic/complications/diet therapy/*drug therapy MH - Helicobacter Infections/*complications MH - Humans MH - Omeprazole/adverse effects/*therapeutic use MH - Randomized Controlled Trials as Topic MH - Time Factors MH - Treatment Outcome RF - 23 EDAT- 2001/04/18 10:00 MHDA- 2001/05/18 10:01 CRDT- 2001/04/18 10:00 PHST- 2001/04/18 10:00 [pubmed] PHST- 2001/05/18 10:01 [medline] PHST- 2001/04/18 10:00 [entrez] AID - 10.1024/0040-5930.58.3.146 [doi] PST - ppublish SO - Ther Umsch. 2001 Mar;58(3):146-50. doi: 10.1024/0040-5930.58.3.146.