title: [Clinical update of GERD].
abstract: In our country, it is reported that reflux esophagitis(GERD) has been increasing like in European countries. One of the reasons for this tendency may be the arrival of the aging society. Another explanation is the lowering of Helicobacter pylori infection rate in the younger generation. Though the Los Angeles classification is mainly used at present, the Savary-Miller classification is also clinically important. For the initial treatment of GERD, proton pump inhibitor(PPI) has been mainly used, while there is large problems in the ideal way of maintenance therapy. The guideline on the GERD treatment is also being considered, based on EBM.
authors.affiliation: Department of Gastroenterology, Dokkyo University School of Medicine.
authors.forename: A
authors.initials: A
authors.lastname: Terano
mesh_terms: D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000628:therapy; D006801:Humans