Medical therapy of extraesophageal gastroesophageal reflux disease

Patients with extraesophageal gastroesophageal reflux disease (GERD) are of ten more difficult to treat than patients with typical GERD. Effective trea tment almost always requires the use of proton pump inhibitors, often in hi gher doses than traditionally used to treat patients with heartburn and ero sive esophagitis and Tot a longer period of time. Long-term maintenance the rapy is usually required as relapse is almost universal when therapy is dis continued. This paper reviews the treatment options and suggested approach to management of these patient!, with extraesophageal GERD.