PMID- 21129076 OWN - NLM STAT- MEDLINE DCOM- 20110401 LR - 20101206 IS - 1745-7599 (Electronic) IS - 1041-2972 (Linking) VI - 22 IP - 12 DP - 2010 Dec TI - The evolution of proton pump inhibitors for the treatment of gastroesophageal reflux disease. PG - 674-83 LID - 10.1111/j.1745-7599.2010.00578.x [doi] AB - PURPOSE: This article reviews the diagnosis and current treatment options for gastroesophageal reflux disease (GERD) available to nurse practitioners, with a focus on advances in proton pump inhibitor (PPI) therapy. DATA SOURCES: Review of scientific literature and clinical management guidelines for GERD treatment and PPI therapy from the PubMed database, Google Scholar, and other World Wide Web resources. CONCLUSIONS: A number of safe and effective treatment options exist for GERD. Recent developments in PPI technology may begin to address unmet needs in PPI therapy. IMPLICATIONS FOR PRACTICE: GERD is commonly diagnosed and treated by nurse practitioners in the primary care setting. Acid suppression therapy is the primary medical therapy for GERD. PPI therapy provides symptomatic relief of heartburn and regurgitation, as well as effective healing and maintenance of erosive esophagitis. Newer PPIs lengthen the duration of acid suppression and allow for more flexibility in dosing, which may improve medication adherence and decrease episodes of acid breakthrough. CI - (c)2010 The Author(s) Journal compilation (c)2010 American Academy of Nurse Practitioners. FAU - Friedlander, Elizabeth A AU - Friedlander EA AD - Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. efriedla@bidmc.harvard.edu FAU - Pallentino, Julia AU - Pallentino J FAU - Miller, Sally K AU - Miller SK FAU - VanBeuge, Susan S AU - VanBeuge SS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20101124 PL - United States TA - J Am Acad Nurse Pract JT - Journal of the American Academy of Nurse Practitioners JID - 8916634 RN - 0 (Proton Pump Inhibitors) MH - Algorithms MH - Decision Trees MH - Drug Prescriptions/statistics & numerical data MH - Esophagitis, Peptic/etiology MH - Gastroenterology MH - Gastroesophageal Reflux/classification/complications/*diagnosis/*drug therapy MH - Humans MH - Life Style MH - Nurse Practitioners MH - Patient Selection MH - Practice Guidelines as Topic MH - Primary Health Care/methods MH - Proton Pump Inhibitors/pharmacology/*therapeutic use MH - Referral and Consultation MH - Severity of Illness Index EDAT- 2010/12/07 06:00 MHDA- 2011/04/02 06:00 CRDT- 2010/12/07 06:00 PHST- 2010/12/07 06:00 [entrez] PHST- 2010/12/07 06:00 [pubmed] PHST- 2011/04/02 06:00 [medline] AID - 10.1111/j.1745-7599.2010.00578.x [doi] PST - ppublish SO - J Am Acad Nurse Pract. 2010 Dec;22(12):674-83. doi: 10.1111/j.1745-7599.2010.00578.x. Epub 2010 Nov 24.