Reflux disease : pathways to the best care : guidelines

Extracted from text ... GUIDELINES The South African Gastroenterology Review - November 2003 18 Reflux disease: Pathways to the best care if appropriate. If Hp negative, then appropriate PPI therapy. patients with non-ulcer dyspepsia should not routinely be treated with PPI longterm PPI therapy should normally be reserved for those with proven pathology the least expensive appropriate PPI should be used patients with "complicated oesophagitis" (stricture, ulcer, haemorrhage) should be maintained on the full healing dose of PPI patient with GORD should be stepped down form a healing dose to the lowest dose to control symptoms unless they ..