BMJ 2001;322:344-347 ( 10 February )

Clinical review

Management of gastro-oesophageal reflux disease in general practice

John Dent, professor of medicine ^a, Roger Jones, professor of general practice ^b, Peter Kahrilas, professor of medicine ^c, Nicholas J Talley, professor of medicine ^d. 

^a Department of Gastroenterology, Hepatology, and General Medicine, Royal Adelaide Hospital, Adelaide, SA 5000, Australia, ^b Department of General Practice and Primary Care, Guy's, King's, and St Thomas' School of Medicine, London SE11 6SP , ^c Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University Medical School, Chicago, IL 60611-3008, USA, ^d Department of Medicine, University of Sydney, Nepean Hospital, Penrith, PO Box 63, NSW 2751, Australia

Correspondence to: R Jones roger.jones@kcl.ac.uk

The first 150 words of the full text of this article appear below.

	Introduction

Gastro-oesophageal reflux disease is a potentially serious condition that can greatly reduce patients' quality of life and carries a risk of oesophagitis and complications.¹ It is a common condition and a considerable burden on healthcare resources. Most patients are managed in general practice, and effective management of the disease remains a challenge. Guidelines produced in Europe, ^{2 3} the United States,⁴ and Canada⁵ do not give consistent recommendations.

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	Methods

An international multidisciplinary workshop was held in Genval, Belgium, in 1999 to evaluate the literature on gastro-oesophageal reflux disease, including numerous reviews,^6-8 in the light of clinical experience.⁹ Participants voted on their level of support and the strength of the evidence for a series of statements relevant to the management of the disease. In this article we summarise the conclusions of the Genval workshop and present an overview of the latest thinking on the management of gastro-oesophageal reflux disease relevant to general practice. We also . . . [Full text of this article]

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