[Increasing the dose, evaluating compliance, revising the diagnosis. Prescriptions for apparently resistant processes in the esophagus].
One of the most common reasons for failed treatment of esophageal diseases is inadequate medication dosage. This applies in particular to gastro-esophageal reflux disease (GERD). In many cases, however, the adoption of unrealistic therapeutic aims or inappropriate target criteria may play a role. Last, but not least, adequate compliance on the part of the patient is a prerequisite for successful treatment. In any case of resistance to treatment, it is recommended that the diagnosis be checked, and the algorithms on how to proceed issued by the specialist associations (re-)consulted.
Mönnikes
H
H
Medizinische Klinik, Universitätsklinikum Charité, Berlin. hubert.moennikes@charite.de
D000863:Antacids / Q000008:administration & dosage*; D000897:Anti-Ulcer Agents / Q000008:administration & dosage*; D003951:Diagnostic Errors; D004305:Dose-Response Relationship, Drug; D004942:Esophagitis, Peptic / Q000175:diagnosis / Q000188:drug therapy*; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D010349:Patient Compliance; D012008:Recurrence; D017211:Treatment Failure
D000863:Antacids; D000897:Anti-Ulcer Agents