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PubMed · 10111180

Meeting approval.

M Schechter
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Abstract

Each of the five conference centers featured here displays the best its parent organization has to offer. Take a tour through Herman Miller, Inc.'s Marigold Lodge; UCLA Conference Center/Bruin Woods Family Resort, S.C. Johnson & Son, Inc.'s The Council House; Aetna Institute for Corporate Education; & Eastwood (Medical Center) Conference Center & discover conference dining's multifaceted mission.

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M Schechter. 1991. Meeting approval.. https://pubmed.ncbi.nlm.nih.gov/10111180/

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On-demand therapy for gastroesophageal reflux disease.

The following pages summarize the proceedings of a symposium held in May 2006 on the emerging role of on-demand therapy for gastroesophageal reflux disease (GERD). Medical therapy for GERD has undergone significant change in recent years with the advent of effective, but expensive, antisecretory agents. On-demand (patient-driven) therapy is attractive to payers and patients, because it appears to be both cost-effective and convenient. Many individuals appear to accept occasional symptomatic breakthrough in exchange for personal control of their disease. On-demand therapy should be distinguished from intermittent therapy, which is either patient- or physician-driven, but which requires intermittent episodes of continuous therapy followed by discontinuation until symptoms recur. Proton pump inhibitors appear to be effective on-demand agents despite theoretical pharmacodynamic limitations for this class of drug. The available data support the use of on-demand therapy for GERD in uninvestigated reflux disease, nonerosive reflux disease, and possibly mild esophagitis as well. On-demand therapy should not be considered for patients with severe esophagitis.

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