The practical management of patients with gastroesophageal reflux: an Italian survey

Abstract

BACKGROUND: Gastroesophageal reflux disease (GERD) is a prevalent medical condition in clinical practice. However, its management is still controversial and debated. An Italian survey involved a group of gastroenterologists in describing their clinical approach.METHODS: A panel of Italian gastroenterologists participated in the survey. The survey included questions concerning professional characteristics and patient management in clinical practice.RESULTS: Sixty-five gastroenterologists completed the questionnaire. GERD diagnosis is usually established by history and PPI Test (commonly for 4 or 8 weeks with a single dose). After reassessment, PPI is usually associated with mucosal protectors, alginates, and antacids. Gastroenterologists were particularly satisfied (88.4%) with the combination of PPI (single dose) plus mucosal protectors, while 43.5 preferred the single PPI approach.CONCLUSIONS: The present Italian survey showed that the work-up in GERD patients is essentially based on history and PPI Trial. After reassessment, PPIs are commonly prescribed, but they are frequently associated with mucosal protectors, alginates, and antacids, preferring the former.