• Motoyasu Kusano, Hiroko Hosaka, Osamu Kawamura, Akiyo Kawada, Shiko Kuribayashi, Yasuyuki Shimoyama, Hidetoshi Yasuoka, Masafumi Mizuide, Taku Tomizawa, Toshihiko Sagawa, Ken Sato, and Masanobu Yamada.
• Department of Gastroenterology, Gunma University Hospital, Maebashi, Gunma, Japan, mkusano@gunma-u.ac.jp.
• J. Gastroenterol. 2015 Mar 1; 50 (3): 298-304.

BackgroundDuring maintenance proton pump inhibitor (PPI) therapy, patients with gastroesophageal reflux disease (GERD) sometimes complain of upper gastrointestinal symptoms.AimTo evaluate upper gastrointestinal symptoms in patients on maintenance PPI therapy for erosive GERD or non-erosive reflux disease (NERD) without endoscopic mucosal breaks by using a new questionnaire.MethodsAt Gunma University Hospital over a 12-month period during 2011-2012, we enrolled 30 consecutive patients with erosive GERD and 46 patients with NERD. All patients had been on maintenance PPI therapy for more than 1 year. We used the modified frequency scale for the symptoms of GERD (mFSSG) questionnaire to assess upper gastrointestinal symptoms. We also asked patients about their satisfaction with maintenance therapy and whether they wished to change their current PPI.ResultsThe NERD patients had significantly higher symptom scores than the erosive GERD patients. There was no difference in the treatment satisfaction rate between patients with erosive GERD and NERD, but more patients with NERD wanted to change their PPI therapy. There was no difference in the mFSSG score between NERD patients who wished to change their current PPI therapy and those who were satisfied with it.ConclusionsDuring maintenance PPI therapy, upper gastrointestinal symptoms were more severe in NERD patients than in patients with erosive GERD. NERD patients often wished to change their PPI therapy, but this was not dependent on the severity of their upper GI symptoms.

25 keywords...

hide…