Table 2. Therapeutic options for PPI non-responders.
Weakly acidic reflux | Residual acidic reflux | Functional heartburn | |
---|---|---|---|
Lifestyle modifications | ✓ | ✓ | |
Compliance/adherence | ✓ | ✓ | |
Baclofen | ✓ | ✓ | |
Endoscopic treatment | ✓ | ✓ | |
Anti-reflux surgery | ✓ | ✓ | |
Sucralfate | ✓ | ✓ | |
Gaviscon | ✓ | ✓ | |
H2RA | ✓ | ||
Pain modulators | ✓ | ✓ | |
Psychological intervention | ✓ |
H2RA, histamine-type-2 receptor antagonist; PPI, proton pump inhibitor.