High Dosage Esomeprazole and Baclofen for Therapy of Gastroesophageal Reflux Disease

It has been reported that Baclofen is an appropriate tool in the therapeutic management of Gastroesophageal Reflux Disease. To objectify gastroesophageal reflux combined pH-metry/impedance monitoring was applied to patients with persistent reflux-associated symptoms despite PPI-therapy (40mg esomeprazole for 2 weeks). After provement of pathological findings in the test PPI-dosage was escalated to double standard-dosage for another for weeks. In case of persistent symptoms another ph-metry/impedance monitoring was performed. In case of pathological findings additional baclofen was administered to the therapeutic regime. After 3 months another ph-metry/impedance monitoring was performed. At the time point of the tests a questionnaire was completed.

Aim of the study was to evaluate the influence of high dosage PPI-therapy and additional baclofen in patients with persistent symptoms and objectified gastroesophageal reflux.

Inclusion Criteria:

• age between 18-70 years
• informed consent
• patients with persistent reflux-associated symptoms despite PPI-therapy

Exclusion Criteria:

• epilepsy
• synthetic liver diseases
• renal failure
• disability to understand informed consent