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PubMed · 11482301

Initial experience with a new communication tool: the 'Digital Interactive Poster Presentation'.

R De Simone·J Rodrian·B Osswald·F U Sack·E De Simone·S Hagl
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R De Simone, J Rodrian, B Osswald, F U Sack, E De Simone, S Hagl. 2001. Initial experience with a new communication tool: the 'Digital Interactive Poster Presentation'.. https://doi.org/10.1016/s1010-7940(01)00694-7

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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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