J P Galmiche1, S B des Varannes
1Department of Gastroenterology and Hepatology and INSERM U 539, Hôtel-Dieu, CHU Nantes, 44093 NANTES Cedex, France. galmiche@easynet.fr
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Endoscopy-negative reflux disease (ENRD) significantly impacts quality of life, despite not progressing to erosive stages. Management focuses on symptom relief and quality of life restoration, similar to reflux esophagitis.
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