title: Nonmedical therapeutic strategies for nonerosive reflux disease.
abstract: There has been a marked decline over the last several years in drug development for gastroesophageal reflux disease and specifically for nonerosive reflux disease (NERD), despite there being many areas of unmet need. In contrast, we have seen a proliferation, during the same period of time, in development of novel, nonmedical therapeutic strategies for NERD using cutting-edge technology. Presently, compliance and lifestyle modifications are readily available noninvasive therapeutic interventions for NERD. Other nonmedical therapies include, the Stretta procedure, transoral incisionless fundoplication, and the magnetic sphincter augmentation device (LINX). Antireflux surgery, in experienced hands, has been repeatedly shown to be efficacious in resolving NERD-related symptoms. Psychological therapeutic interventions and alternative medicine techniques, such as acupuncture, continue to show promise, especially in NERD patients who failed antireflux treatment.
authors.affiliation: The Esophageal and Swallowing Center, Division of Gastroenterology and Hepatology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH.
authors.forename: Carla
authors.initials: C
authors.lastname: Maradey-Romero
authors.forename: Hemangi
authors.initials: H
authors.lastname: Kale
authors.forename: Ronnie
authors.initials: R
authors.lastname: Fass
mesh_terms: D015670:Acupuncture Therapy; D004599:Electric Stimulation Therapy; D004945:Esophagoscopy; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000628:therapy*; D006801:Humans; D010535:Laparoscopy; D008019:Life Style; D059346:Magnets; D055118:Medication Adherence; D019736:Prostheses and Implants; D054328:Proton Pump Inhibitors / Q000627:therapeutic use
chemical_list: D054328:Proton Pump Inhibitors