PMID- 22233024 OWN - NLM STAT- MEDLINE DCOM- 20120131 LR - 20141120 IS - 0342-9601 (Print) IS - 0342-9601 (Linking) VI - 34 IP - 12 DP - 2011 Dec TI - [Therapy of gastroesophageal reflux disease (GERD)]. PG - 446-54; quiz 455-6 AB - Gastroesophageal reflux disease (GERD) comprises all symptoms and clinical consequences in the context of reflux of stomach contents into the esophagus. The symptoms reported by patients include heartburn, regurgitation and sour taste in the mouth. In some cases atypical reflux associated symptoms such as asthma, laryngitis or recurrent pneumonias are reported. Pathophysiologically an incompetence of the lower esophageal sphincter and a disturbed clearance of the esophagus are the underlying mechanisms. Current treatment recommendations include a change of lifestyle and a drug treatment with proton pump inhibitors (PPI) being widely used. In patients with persistent symptoms other diagnoses like functional dyspepsia should be considered especially when additional symptoms like epigastric pain, postprandial fullness and nausea are present. This review summarizes the current understanding of the pathophysiology, the diagnosis and the treatment of GERD and gives an outlook on therapies currently developed for the treatment of reflux disease. A promising new drug, presently classified as being a reflux inhibitor, is lesogaberan. Lesogaberan is presently studied in phase II clinical trials. FAU - Storr, Martin AU - Storr M AD - Medizinische Klinik II der Ludwig-Maximilians-Universitat Munchen, Klinikum Grosshadern, Marchioninistrasse 15, 81377 Munchen. grdoc@gmx.com LA - ger PT - English Abstract PT - Journal Article PT - Review TT - Aktuelle und zukunftige Therapien der gastroosophagealen Refluxerkrankung. PL - Germany TA - Med Monatsschr Pharm JT - Medizinische Monatsschrift fur Pharmazeuten JID - 7802665 RN - 0 (Antacids) RN - 0 (GABA Antagonists) RN - 0 (Histamine H2 Antagonists) RN - 0 (Phosphinic Acids) RN - 0 (Propylamines) RN - 0 (Proton Pump Inhibitors) RN - 0 (Receptors, GABA-A) RN - 4D6Q6HGC7Z (lesogaberan) SB - IM MH - Antacids/therapeutic use MH - Drug Resistance MH - GABA Antagonists/therapeutic use MH - Gastroesophageal Reflux/complications/diagnosis/drug therapy/epidemiology/*therapy MH - Histamine H2 Antagonists/therapeutic use MH - Humans MH - Phosphinic Acids/therapeutic use MH - Propylamines/therapeutic use MH - Proton Pump Inhibitors/therapeutic use MH - Receptors, GABA-A/drug effects EDAT- 2012/01/12 06:00 MHDA- 2012/02/01 06:00 CRDT- 2012/01/12 06:00 PHST- 2012/01/12 06:00 [entrez] PHST- 2012/01/12 06:00 [pubmed] PHST- 2012/02/01 06:00 [medline] PST - ppublish SO - Med Monatsschr Pharm. 2011 Dec;34(12):446-54; quiz 455-6.