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Intervening in GERD: the phases of management
1Temple University, Philadelphia, USA.
Hospital Practice (1995)
|September 15, 1995
Abstract:
The discomforts and histologic changes of gastroesophageal reflux disease call for a stepped approach consisting of four phases: lifestyle modification, initiation of pharmacologic therapy, intensification of drug therapy, and in some cases antireflux surgery. Decisions are guided by symptom patterns, which serve to suggest the predominant pathophysiologic mechanisms.