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Management of reflux oesophagitis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

General first-line measures against reflux oesophagitis include:

losing weight
stopping smoking
elevating the head of the bed
not lying down before a meal
not eating before bedtime
reducing the size of meals

Guidance as to the management of oesophagitis in primary care is provided by NICE (1).

If the condition is intractable then surgical intervention may be indicated. This amounts to 5% of patients seen by a specialist, usually people troubled by the volume of fluid regurgitated rather than by the oesophagitis. The operation of choice is fundoplication which may be carried out in an open manner via transthoracic or transabdominal approaches, or via a laparoscope.

Reference

NICE. Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management. Clinical guideline CG184. Published: 03 September 2014 Last updated: 18 October 2019

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Management of reflux oesophagitis

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