Prevalence and clinical characteristics of refractoriness to optimal proton pump inhibitor therapy in non-erosive reflux disease.
Mentore RibolsiMichele CicalaPatrizia ZentilinMatteo NeriAurelio MauroKonstantinos EfthymakisTommasangelo PetittiVincenzo SavarinoRoberto PenaginiPublished in: Alimentary pharmacology & therapeutics (2018)
True refractoriness in patients with GERD symptoms attending a secondary care setting is lower than previously reported. Following a careful history and optimal PPI dosing, the rate of refractoriness was 20%. True NERD constitutes only a third of the PPI-refractory group.