Prevention and Treatment of Esophageal Reflux Disease: Literature Analysis

Dorot. Medical Center for Rehabilitation and Geriatrics, Netanya, Israel

*Corresponding Author: Michael D Levin, Dorot. Medical Center for Rehabilitation and Geriatrics, Department of Pediatric Radiology of the 1-st State Hospital, Minsk, Belarus, Dorot. Medical Center for Rehabilitation and Geriatrics, Amnon veTamar, Netanya, Israel, Tel: 972-538281393, Email: [email protected]

Received Date: June 02, 2025

Published Date: June 16, 2025

Citation: Levin MD. (2025). Prevention and Treatment of Esophageal Reflux Disease: Literature Analysis. Mathews J Gastroenterol Hepatol. 10(2):33.

Copyrights: Levin MD. © (2025).

ABSTRACT

Currently, the treatment of patients with GERD is limited by diagnostic frameworks, since only those symptomatic individuals are recognized as patients in whom pH monitoring in the esophagus reveals acid with a pH <4 more than 4% of the time out of 24 hours in adults and more than 10% in children. The false idea of the possibility of physiological reflux has led to the fact that more than 30% of patients with GERD are diagnosed with allegedly functional diseases and they do not receive timely treatment. In addition, some patients with GERD are diagnosed with esophageal achalasia based on high-resolution manometry, based on which, instead of treating GERD, they often undergo transection of the LES. With the goal of increasing the effectiveness of conservative treatment and prevent operations, a single set of conservative measures is proposed. In addition to the known methods (lifestyle changes, suppression of hydrochloric acid secretion, use of antacids, and mucous protectors), it is proposed to refuse to take provocateurs of hydrochloric acid. The high efficiency of refusing to take products containing lactose has been proven. In addition, the high efficiency of swallowing large tablets, which are carried by peristalsis through the digestive tract and stretch the sphincters, improving their motor function, has been proven. Conclusion: The article presents a scientific rationale for a comprehensive, uniform treatment of patients with suspected GERD. It has been proven for the first time on a large clinical sample that most patients with GERD are lactose intolerance. Consumption of lactose-containing products causes hypersecretion of hydrochloric acid, despite the use of PPI. Refusal to consume lactose, as well as allergens and histamine-containing products, has a pronounced clinical effect. A pronounced clinical effect of stretching the upper gastrointestinal tract, including anatomical and functional sphincters, by swallowing dense large tablets with a diameter of 1.9 to 2.3 cm has been shown for the first time. The inclusion of these methods in the comprehensive treatment of GERD can significantly reduce the number of cases resistant to conservative therapy and reduce or eliminate surgical treatment.

Keywords: Gastroesophageal Reflux Disease, Etiology, Pathogenesis, Diagnosis, Treatment, Lactose Intolerance, Swallowing Large Tablet.