The views of African and Middle Eastern Gastroenterologists on the management of mild-to-moderate, non-erosive gastro-esophageal reflux disease (GERD).

Autor:	Al-Marhabi A; Department of Internal Medicine, College of Medicine, Imam AbdulRahman Bin Faisal University, Khobar, Kingdom of Saudi Arabia., Hashem A; Endemic Medicine Department, Cairo University, Egypt.; Department of Medicine & Gastroenterology, Saudi German Hospital Jeddah, Jeddah, Kingdom of Saudi Arabia., Zuberi BF; Department of Medicine & Gastroenterology, Dow University of Health Sciences, Karachi, Pakistan., Onyekwere C; Department of Medicine, Lagos State University College of Medicine, Lagos, Nigeria., Lodhi I; Global Medical Sciences, Reckitt Healthcare, London, UK., Mounir M; Regional Medical Affairs, Reckitt Benckiser (Arabia) FZE, Dubai, United Arab Emirates., Alkhowaiter S; Gastroenterology, King Saud University, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia., Al Awadhi S; Digestive Diseases Unit, Rashid Hospital, Dubai, United Arab Emirates., Naidoo VG; Department of Gastroenterology, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.; Department of Gastroenterology, University of KwaZulu-Natal, Durban, South Africa., Hamada Y; Endemic Medicine Department, Cairo University, Egypt.
Jazyk:	angličtina
Zdroj:	Expert review of gastroenterology & hepatology [Expert Rev Gastroenterol Hepatol] 2022 Mar; Vol. 16 (3), pp. 217-233. Date of Electronic Publication: 2022 Feb 25.
DOI:	10.1080/17474124.2022.2043744
Abstrakt:	Introduction: Gastro-esophageal reflux disease (GERD) is a common gastrointestinal disorder that occurs when backflow of the gastric contents into the esophagus results in troublesome symptoms. Though GERD has been extensively studied in Western populations, literature on the management of GERD in patients in Africa and Middle East (AME) is scarce. Areas Covered: In this review, we provide an overview of the management of mild-to-moderate GERD in AME. Here we focus on the efficacy and safety of currently available treatments for GERD to help physicians and community pharmacists appropriately manage patients with mild-to-moderate GERD in the primary healthcare setting, detailing specific situations and patient scenarios that are relevant to the region, including management of GERD during Ramadan and post-bariatric surgery. Expert Opinion: Under-appreciation of the burden of GERD in the region has resulted in a lack of consensus on management. Barriers that currently prevent the adoption of treatment guidelines in the primary healthcare setting may include lack of availability of local guidelines and referral systems, a paucity of region-specific research, and dogmatic adherence to traditional practice. By increasing awareness, strengthening knowledge, and by more effective utilization of resources, physicians and pharmacists could optimize GERD management strategies to better support patients.
Databáze:	MEDLINE
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