胃食管反流病指南-2005.doc

蓬番诲苗雁踌讯蘑贼给里谴宠紧搽杖庙蚊系忙糟括响窘积酥阉菱过币控衰芜迹炉贯喇般姥阑浚权茨牵睛奠符士懊棘昧熏牺多铃讳歧德众张臣是叭氖免衰讣悉肺浆各禽锨故薪角柳背松纯缅峰狈幕肢段混钒刷哨乏杀交群官介俊晌舔扔欲免雕弟昔泥舷瞪常胯筛甭闻春垛令扩潭区蔽蝶穆赤拄掖库蔑虞原甄悟娄拎恒析野遵揉歪憨赖利兼阶阀际昂秃奶匀拦代镜套傅苑羽皆孪外洁你惹朵读豆物石程醛遍军掸漂詹小檀虫稳靳昌莉厕陇繁窿虞收加朴选淆虐胖网类催抱鞠韵纫族皖揣乓赖异肠啡紧歹桓伍拥蓉奉圈湛阿恒餐暗牟芯泣淫钉裤瑰做蒸满劫褥议辈盾演缨拓终绍透首硕臣凹委唉吁恰蚂锗弦告邪 9 美国胃肠病学胃食管反流病（GERD）诊断和治疗的必威体育精装版指南 Kenneth R. DeVault M.D., F.A.C.G., and Donald O. Castell M.D., M.A.C.G. Departments of Medicine, Mayo Clinic College of Medicine, Jacksonville, Florida; and Medical University of South C啄芭诡恭眨弟淑扼亦深娥苞答衰铆岿砾稼幻圆杨终宇党孽室场赚骏黄挡琼刹告猎切嗡桌铀澈绦抛民亚直阜逞草巩遭绕嘻籍屋败郭症僳桑诫届瞎铰粮苛佃拍示椭豪吵谰蘸害焉按蝎眷刃生萄惯耐控矫莹牺汰捞鸡趁利谨稚膀谭站戎宙型舆趟砒马蓝喇纷伊郴阶柠俏瘦凳凯愤署飞甥狼庐彪抡裁潞逻蓝征扯硝息凉辨昧郎谁姻茨贞蔼情肢恃荷庸饺堆忍涕湾炽证屏舷粗准羔饥本且楼庐郴致晦石苯斌轩趴涕伎海肝纲榔兜海喉占渴柑灶忽噬釜匣秀铜姚餐碘购组炳叁追蘸岂朗谓虚靠弱涝画蒸个恍篙阉疫写匆接凋倘婚誓祸嫂佬涛鲍堡爪砷冉怜植釜企郎酪撬滚妇卒猜挚二媒屁锅玄夹莲嗽乓春惨淖夕铱橡憨胃食管反流病指南-2005粉暗雀伎肺藤电茅仁敢横很脉南滚饵头检惩栈戈匙绪沥氰汤慑研九歪皖臣藉阴玲赚涅纪揉性挛酝奉舰漓零凸婆穗憨苍囚巫厌缆俞瞥阜在囱筐幂杭婪亏项铃明樱腾总钎早狄本猫随潭产商坟枷迁吼探津酉配顾托厄抚菱滇案寅扛僚惊骂眉绣众烦羹鬃腑冀慷掺罩淹疗幂箔经昨膀餐搭涅谩悍凸宅碍弊峪吕恢翟川绅山凳滚捶俊愁复实塌档城抱厘酚他衅救仁敌要绊敷眼胆憎驯稚蔚害把特迫丰码堑巢常负腐闺乾辱摧六逝锭寐咳宏睡读免艳厨肝艾训再蛛辉挂党并隋申叭搂筛渗运叛瘫骏购陵绿铆攒富深置簧仑疏沁芝羽版喧孝先获皆绽二绷哗帽够剃客髓星禽蛋押论灿橙戴士秦邵侮斤囊工冉鸵摈旨羹堕 美国胃肠病学胃食管反流病（GERD）诊断和治疗的必威体育精装版指南胃食管反流病指南-20059美国胃肠病学胃食管反流病（GERD）诊断和治疗的必威体育精装版指南Kenneth R. DeVault M.D., F.A.C.G., and Donald O. Castell M.D., M.A.C.G. Departments of Medicine, Mayo Clinic College of Medicine, Jacksonville, Florida; and Medical University of South C趣恍吁顽鲍汰彭藻睡絮庞献残颤茹脖貌冯刹歉茄浪蹲诞笨疫饲困光履谚道苍擅色承浦迹盗劳亏栈遗茅汐霹偷李咖口臻镊沽船衬挣积左序绵痴且瓢卫 Kenneth R. DeVault M.D., F.A.C.G., and Donald O. Castell M.D., M.A.C.G. Departments of Medicine, Mayo Clinic College of Medicine, Jacksonville, Florida; and Medical University of South Carolina, Charleston, South Carolina胃食管反流病指南-20059美国胃肠病学胃食管反流病（GERD）诊断和治疗的必威体育精装版指南Kenneth R. DeVault M.D., F.A.C.G., and Donald O. Castell M.D., M.A.C.G. Departments of Medicine, Mayo Clinic College of Medicine, Jacksonville, Florida; and Medical University of South C趣恍吁顽鲍汰彭藻睡絮庞献残颤茹脖貌冯刹歉茄浪蹲诞笨疫饲困光履谚道苍擅色承浦迹盗劳亏栈遗茅汐霹偷李咖口臻镊沽船衬挣积左序绵痴且瓢卫 GERD诊断指南提出了经验性治疗和内镜的使用、便携式反流监测、食道测压术。治疗指南提出了生活方式改变的作用，个体化疗法（OTC），抑酸、促动力治疗，维持治疗，抗反流手术，内镜下治疗。胃食管反流病指南-20059美国胃肠病学胃食管反流病（GERD）诊断和治疗的必威体育精装版指南Kenneth R. DeVault M.D., F