title: Proton pump inhibitors improve acid-related dyspepsia in gastroesophageal reflux disease patients.
abstract: It has been reported that proton pump inhibitors are more effective than H2 receptor antagonists in patients with functional dyspepsia. Dyspeptic symptoms that respond to proton pump inhibitors are classified as acid-related dyspepsia. A new questionnaire for assessing gastroesophageal reflux disease (GERD), the Frequency Scale for Symptoms of GERD, covers the 12 most common symptoms of GERD patients. A quantitative assessment of the changes of reflux symptoms and acid-related dyspepsia was made in GERD patients receiving proton pump inhibitor therapy. Sixty-eight GERD patients receiving proton pump inhibitor therapy completed the questionnaire before and after treatment for 8 weeks. There is a significant positive correlation between reflux symptoms and acid-related dyspepsia before and after therapy (r = 0.569 and r = 0.569; both P's < 0.001) and acid-related dyspepsia in patients with both nonerosive and erosive GERD. We conclude that GERD patients suffer not only from reflux symptoms, but also from acid-related dyspepsia, and proton pump inhibitors improve both types of symptoms.
authors: Department of Endoscopy and Endoscopic Surgery, Gunma University Hospital, 3-39-19 Showamachi, Maebashi, Gunma, Japan. mkusano@showa.gunma-u.ac.jp
authors: Motoyasu
authors: M
authors: Kusano
authors: Yasuyuki
authors: Y
authors: Shimoyama
authors: Osamu
authors: O
authors: Kawamura
authors: Masaki
authors: M
authors: Maeda
authors: Shikou
authors: S
authors: Kuribayashi
authors: Atsuto
authors: A
authors: Nagoshi
authors: Hiroaki
authors: H
authors: Zai
authors: Fumitaka
authors: F
authors: Moki
authors: Tsutomu
authors: T
authors: Horikoshi
authors: Munetoshi
authors: M
authors: Toki
authors: Sayaka
authors: S
authors: Sugimoto
authors: Masatomo
authors: M
authors: Mori
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D004415:Dyspepsia / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D064747:Lansoprazole; D008297:Male; D008875:Middle Aged; D009853:Omeprazole / Q000627:therapeutic use; D006180:Proton-Translocating ATPases / Q000037:antagonists & inhibitors*; D064750:Rabeprazole; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D064747:Lansoprazole; D064750:Rabeprazole; D006180:Proton-Translocating ATPases; D009853:Omeprazole