Treatment of patients with erosive esophagitis. A modern view on the problem

Gastroesophageal reflux disease is one of the most common diseases of the gastroenterological profile. There are several forms of illness, including non-erosive forms, erosive esophagitis, Barrett esophagus. The article provides an overview of the drugs used to treat the erosive form of GERD and lon...

Full description

Bibliographic Details
Main Authors: S. V. Morozov, Yu. A. Kucheryavy, V. S. Kropochev
Format: Article
Language:Russian
Published: Remedium Group LLC 2018-04-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/2381
_version_ 1797841829640536064
author S. V. Morozov
Yu. A. Kucheryavy
V. S. Kropochev
author_facet S. V. Morozov
Yu. A. Kucheryavy
V. S. Kropochev
author_sort S. V. Morozov
collection DOAJ
description Gastroesophageal reflux disease is one of the most common diseases of the gastroenterological profile. There are several forms of illness, including non-erosive forms, erosive esophagitis, Barrett esophagus. The article provides an overview of the drugs used to treat the erosive form of GERD and long-term supportive therapy from the perspective of evidence-based medicine. The main objectives of the treatment of erosive esophagitis are to heal esophagus mucosa lesions, achieve long-term remissions, and normalize the patients’ life quality. The proton pump inhibitors (PPIs) have steadily become the mainstay in treatment of erosive esophagitis. These drugs are used at all stages of treatment, both for the relief of symptoms and healing of oesophagus mucosa lesions, and as the long-term supportive therapy. Due to the need for long-term use of IPI, their safety are open to question. The recent publications reported an increased risk of chronic kidney disease, myocardial infarction, pneumonia, calcium, magnesium, iron, vitamin B12 deficiency. At the same time, the analysis of studies underlying the risks of long-term PPI use detected some significant disadvantages that reduce their evidence-based value. This paper provides data on the most frequently discussed risks and critical assessment of them.
first_indexed 2024-04-09T16:37:32Z
format Article
id doaj.art-48c06111cdb245e195db44c04125fe1c
institution Directory Open Access Journal
issn 2079-701X
2658-5790
language Russian
last_indexed 2024-04-09T16:37:32Z
publishDate 2018-04-01
publisher Remedium Group LLC
record_format Article
series Медицинский совет
spelling doaj.art-48c06111cdb245e195db44c04125fe1c2023-04-23T06:56:50ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902018-04-01069610310.21518/2079-701X-2018-6-96-1032356Treatment of patients with erosive esophagitis. A modern view on the problemS. V. Morozov0Yu. A. Kucheryavy1V. S. Kropochev2Federal Research Center for Nutrition and Biotechnology, MoscowYevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of RussiaFederal Research Center for Nutrition and Biotechnology, MoscowGastroesophageal reflux disease is one of the most common diseases of the gastroenterological profile. There are several forms of illness, including non-erosive forms, erosive esophagitis, Barrett esophagus. The article provides an overview of the drugs used to treat the erosive form of GERD and long-term supportive therapy from the perspective of evidence-based medicine. The main objectives of the treatment of erosive esophagitis are to heal esophagus mucosa lesions, achieve long-term remissions, and normalize the patients’ life quality. The proton pump inhibitors (PPIs) have steadily become the mainstay in treatment of erosive esophagitis. These drugs are used at all stages of treatment, both for the relief of symptoms and healing of oesophagus mucosa lesions, and as the long-term supportive therapy. Due to the need for long-term use of IPI, their safety are open to question. The recent publications reported an increased risk of chronic kidney disease, myocardial infarction, pneumonia, calcium, magnesium, iron, vitamin B12 deficiency. At the same time, the analysis of studies underlying the risks of long-term PPI use detected some significant disadvantages that reduce their evidence-based value. This paper provides data on the most frequently discussed risks and critical assessment of them.https://www.med-sovet.pro/jour/article/view/2381gastroesophageal reflux diseasetreatmenterosive esophagitisproton pump inhibitorsdexlansoprazole
spellingShingle S. V. Morozov
Yu. A. Kucheryavy
V. S. Kropochev
Treatment of patients with erosive esophagitis. A modern view on the problem
Медицинский совет
gastroesophageal reflux disease
treatment
erosive esophagitis
proton pump inhibitors
dexlansoprazole
title Treatment of patients with erosive esophagitis. A modern view on the problem
title_full Treatment of patients with erosive esophagitis. A modern view on the problem
title_fullStr Treatment of patients with erosive esophagitis. A modern view on the problem
title_full_unstemmed Treatment of patients with erosive esophagitis. A modern view on the problem
title_short Treatment of patients with erosive esophagitis. A modern view on the problem
title_sort treatment of patients with erosive esophagitis a modern view on the problem
topic gastroesophageal reflux disease
treatment
erosive esophagitis
proton pump inhibitors
dexlansoprazole
url https://www.med-sovet.pro/jour/article/view/2381
work_keys_str_mv AT svmorozov treatmentofpatientswitherosiveesophagitisamodernviewontheproblem
AT yuakucheryavy treatmentofpatientswitherosiveesophagitisamodernviewontheproblem
AT vskropochev treatmentofpatientswitherosiveesophagitisamodernviewontheproblem