From Screening Using the Frequency Scale for the Symptoms of Gastroesophageal Reflux Disease to Treatment for Gastroesophageal Reflux Disease -Collaboration between Health Check and Treating Teams

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  • 問診表を利用した胃食道逆流症のスクリーニングから治療まで診療科と連携した取り組み
  • モンシンヒョウ オ リヨウシタ イ ショクドウ ギャクリュウショウ ノ スクリーニング カラ チリョウ マデ シンリョウカ ト レンケイシタ トリクミ

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Abstract

Objective: As gastroesophageal reflux disease (GERD) is a lifestyle-associated disease that can significantly impair a patient's quality of life (QOL), it has become more important for physicians conducting health checks to deal with this condition. In this report, we will present a trial in which we screened for GERD using the frequency scale for the symptoms of GERD (FSSG) questionnaire, and then collaborated with the treating physicians in the provision of lifestyle modification advice and medication. Methods: The subjects were 1405patients who attended this institution for health checks in January and February 2006. An FSSG score of 8 points or more was considered likely GERD, and dietary advice was given at the time of the health check. Patients with persistent discomfort, as evidenced by follow-up FSSG questionnaire 2-3 weeks later, underwent esophago-gastro-duodenoscopy, and were prescribed oral medication. Subjects prescribed proton pump inhibitors (PPIs)were reassessed 2 weeks later using the FSSG questionnaire. Endoscopic findings, barium meal findings, and diet were examined as possible factors influencing the FSSG results. Results: A total of 273 subjects (19%) were assessed as likely GERD. Of these,36 (2.6%)attended medical institutions for further investigation and treatment, and15 (1.1%)commenced oral medication. Of the 7 prescribed PPIs, the FSSG score after 2 weeks'treatment decreased in all subjects (mean16>7points). FSSG scores correlated with endoscopic findings and diet. Conclusions: The FSSG questionnaire was useful in facilitating collaboration between health check and treating teams, from screening for GERD through to treatment.

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