Gastroesophageal Reflux Disease and Sleep

• Autores: Yasuhiro Fujiwara, Tetsuo Arakawa, Ronnie Fass
• Localización: Gastroenterology clinics of North America, ISSN 0889-8553, Vol. 42, Nº. 1, 2013 (Ejemplar dedicado a: Benign and Neoplastic Conditions of the Esophagus), págs. 57-70
• Idioma: inglés
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• Resumen

  • There is strong evidence of a bidirectional relationship between gastroesophageal reflux disease and sleep disturbances. Gastroesophageal reflux (GER) events during the night result in sleep disturbances that include difficulty in falling asleep, sleep fragmentation, and early morning awakenings. In addition, sleep deprivation per se induces hyperalgesia of the esophageal mucosa in response to acid. Treatment includes lifestyle modifications, proton-pump inhibitors (PPIs), ?-aminobutyric acidB agonists, hypnotics, and antireflux surgery. Among these, PPIs are considered first-line treatment for the control of nighttime gastric acid secretion; however, the timing and dosing of PPI administration should be individualized for each patient.