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J Pak Med Assoc ; 65(5): 532-41, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-26028389

RESUMO

Gastroesophageal reflux disease (GERD) is the most common acid-related disorder encountered during clinical practice in Pakistan and is associated with significant impairment of health-related quality of life. A number of guidelines and recommendations for the diagnosis and management of GERD have been published in different countries, but a Pakistani accepted directive by the standards of evidence-based medicine is still lacking. Our aim was to create an understanding of the natural history and presentations of reflux disease; evaluating possible treatment options available for the patients with complex and uncomplicated reflux ailments with the development of current and up to date evidence based endorsement, relevant to the needs of Pakistani health care providers in order to treat oesophageal manifestations of GERD. In order to make such guidelines, a comprehensive literature search was conducted with pertinent evidence reviewed, and quality of relevant data assessed. The resultant conclusions were based on the best available evidence and expert opinion of the authors of technical review panel.


Assuntos
Antiácidos/uso terapêutico , Antiulcerosos/uso terapêutico , Fundoplicatura , Refluxo Gastroesofágico/terapia , Inibidores da Bomba de Prótons/uso terapêutico , Comportamento de Redução do Risco , Adenocarcinoma/diagnóstico , Adenocarcinoma/etiologia , Sulfato de Bário , Esôfago de Barrett/diagnóstico , Esôfago de Barrett/etiologia , Gerenciamento Clínico , Neoplasias Esofágicas/diagnóstico , Neoplasias Esofágicas/etiologia , Monitoramento do pH Esofágico , Esofagoscopia , Medicina Baseada em Evidências , Refluxo Gastroesofágico/complicações , Refluxo Gastroesofágico/diagnóstico , Humanos , Paquistão
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