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692 American Family Physician Volume 91, Number 10 May 15, 2015 Common Questions About the Management of gastroesophageal Reflux DiseaseWILLIAM D. ANDERSON III, MD; SCOTT M. STRAYER, MD, MPH; and SHANE R. MULL, MD University of South Carolina School of Medicine, Columbia, South CarolinaMore than 60 million persons in the United States report symptoms of gastroesopha-geal reflux disease (GERD) at least weekly, and a typical full-time family physician can expect to diagnose and treat 40 to 60 patients with this condition each Three medication classes are avail-able for prescription and over-the-counter treatment: proton pump inhibitors (PPIs), histamine H2 receptor antagonists, and Although endoscopy is not nec-essary to diagnose GERD in most patients, endoscopic screening for complications of GERD is warranted when alarm symptoms are present ( , involuntary weight loss, anemia, evidence of bleeding or obstruc-tion, dysphagia, persistent symptoms despite adequate medical therapy) or in patients 50 years and ,4 This article reviews Common Questions that arise in the manage-ment of All
Common Questions About the Management of Gastroesophageal Reflux Disease ... PPI based on cost, ... questionnaire and a Danish prediction score
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