PMID- 18815107 OWN - NLM STAT- MEDLINE DCOM- 20081113 LR - 20091021 IS - 0030-6002 (Print) IS - 0030-6002 (Linking) VI - 149 IP - 40 DP - 2008 Oct 5 TI - [Reasons for proton-pump-inhibitor failure in the treatment of gastroesophageal reflux disease]. PG - 1881-8 LID - 10.1556/OH.2008.28438 [doi] AB - The introduction of proton pump inhibitors (PPI) has facilitated the successful management of patients with gastroesophageal reflux disease (GERD). In a minor, but still relevant proportion of patients with GERD-like symptoms, PPI therapy has also proved to be ineffective. In such cases, the first question to be answered is if the symptoms and complaints are related to GERD indeed, or another disorder should be searched for. If GERD is still the most likely diagnosis, patients' compliance should be thoroughly investigated before any further diagnostic and therapeutic measure is taken. If PPI failure is not a result of inadequate management of GERD, there are several other disorders to be ruled out. In our review, we summarize the most important differential diagnostic issues of PPI failure. FAU - Juhasz, Mark AU - Juhasz M AD - Semmelweis Egyetem, Altalanos Orvostudomanyi Kar II, Belgyogyaszati Klinika, Budapest, Szentkiralyi u. 46, 1088. juhaszmarkdr@freemail.hu FAU - Tulassay, Zsolt AU - Tulassay Z LA - hun PT - English Abstract PT - Journal Article PT - Review TT - A protonpumpagatlo kezeles eredmenytelensegenek okai gastrooesophagealis refluxbetegsegben. PL - Hungary TA - Orv Hetil JT - Orvosi hetilap JID - 0376412 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Biological Availability MH - Diagnosis, Differential MH - Gastroesophageal Reflux/*diagnosis/*drug therapy/metabolism/physiopathology MH - Humans MH - Proton Pump Inhibitors/pharmacokinetics/*therapeutic use MH - Treatment Failure RF - 54 EDAT- 2008/09/26 09:00 MHDA- 2008/11/14 09:00 CRDT- 2008/09/26 09:00 PHST- 2008/09/26 09:00 [pubmed] PHST- 2008/11/14 09:00 [medline] PHST- 2008/09/26 09:00 [entrez] AID - 5864H663J801H3X2 [pii] AID - 10.1556/OH.2008.28438 [doi] PST - ppublish SO - Orv Hetil. 2008 Oct 5;149(40):1881-8. doi: 10.1556/OH.2008.28438.