Management of Asymptomatic Erosive Esophagitis: An E-Mail Survey of Physician's Opinions.
- Author:
Seong Woo LIM
1
;
Jun Haeng LEE
;
Jie Hyun KIM
;
Jeong Hwan KIM
;
Heung Up KIM
;
Seong Woo JEON
Author Information
- Publication Type:Original Article
- Keywords: Esophagitis; Endoscopy; Asymptomatic diseases; Therapeutics
- MeSH: Adenocarcinoma; Asymptomatic Diseases; Barrett Esophagus; Data Collection; Electronic Mail; Endoscopy; Esophagitis; Follow-Up Studies; Humans; Korea; Proton Pump Inhibitors; Questionnaires
- From:Gut and Liver 2013;7(3):290-294
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: The management of asymptomatic erosive esophagitis is controversial. We surveyed physicians' opinions on asymptomatic erosive esophagitis using e-mail. METHODS: All members of the Korean Society of Neurogastro-enterology and Motility were invited to answer the questionnaire on the treatment and follow-up of patients with asymptomatic erosive esophagitis by e-mail. RESULTS: A total of 73 members answered the questionnaire (response rate, 18%). As initial management, 41% of respondents chose pharmacologic treatment, whereas 59% chose nonpharmacologic treatment. In the case of pharmacologic treatment, proton pump inhibitors were the preferred medication. The most common treatment duration was 4 weeks (43%), followed by 8 weeks (38%), and 6 months (11%). Sixty-two percent of the respondents recommended follow-up endoscopy annually, whereas 29% chose no endoscopic follow-up. Thirty-four percent of the respondents answered that they would talk about reflux-related sleep disturbances. Only 25% of the respondents explained the possibility of Barrett's esophagus or esophageal adenocarcinoma to their patients. CONCLUSIONS: There are substantial practice variations in the management of asymptomatic erosive esophagitis in Korea.
