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- W2018748721 abstract "<h3>Objectives</h3> The purpose of this 24-week treatment study was to evaluate the effects of three treatment strategies after 8 weeks of lansoprazole therapy for gastroesophageal reflux disease in children. <h3>Design</h3> Open-labelled, uncontrolled, prospective study. <h3>Setting</h3> Samsung Medical Center, Seoul, Korea. <h3>Methods</h3> 37 erosive reflux disease (ERD) and 20 non-erosive reflux disease (NERD) patients were divided into three groups by symptom assessment at 8 weeks: (1) observation without treatment in the ‘symptoms-resolved’ group, (2) ‘on-demand’ treatment for an additional 16 weeks in the ‘symptoms-attenuated’ group and (3) continuous treatment in the ‘symptoms-persistent’ group. <h3>Results</h3> For ERD, six (100%) out of six patients in the ‘symptoms-resolved’ group remained improved at weeks 16 and 24. Sixteen (72.7%) out of 22 patients in the ‘symptoms-attenuated’ group had improvement of symptoms at 16 weeks, and 18 (81.8%) patients at 24 weeks. Six (66.7%) out of nine patients in the ‘symptoms-persistent’ group remained improved at weeks 16 and 24. For NERD, seven (100%) out of seven patients in the ‘symptoms-resolved’ group remained improved at weeks 16 and 24. Eight (80.0%) out of 10 patients in the ‘symptoms-attenuated’ group remained improved at week 16, and 10 (100.0%) patients at week 24. None out of three patients in the ‘symptoms-persistent’ group remained improved at weeks 16 and 24. <h3>Conclusions</h3> The selection of each alternative for long-term management according to the results of the assessment of symptoms at week 8 was useful and well tolerated. ‘On-demand’ therapy was equally effective. The 16-week therapy had the same efficacy as the 24-week therapy with regard to long-term lansoprazole treatment." @default.
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- W2018748721 date "2010-09-23" @default.
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- W2018748721 title "The effects of three alternative treatment strategies after 8 weeks of proton pump inhibitor therapy for GERD in children" @default.
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- W2018748721 doi "https://doi.org/10.1136/adc.2010.188565" @default.
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