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Updated: Jul 14, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
The patient with GORD and chronically recurrent problems
1Department of Gastroenterology, University Medical Center, P.O. Box 85500, 3508 GA Utrecht, The Netherlands. asmout@umcutrecht.nl
Abstract:
Treatment of gastro-oesophageal reflux disease (GORD) by means of gastric acid secretion inhibition usually is successful. When symptoms persist despite adequate treatment, correctness of the diagnosis of GORD should be questioned. Quite often dyspeptic symptoms are erroneously interpreted as GORD symptoms. Other causes of treatment failure are insufficient acid suppression and oesophageal hypersensitivity. In the management of patients with persistent symptoms oesophageal pH and impedance monitoring are useful techniques. These may provide answers to the question whether the symptoms are reflux-related and whether acid secretion is adequately suppressed.
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