TY - JOUR T1 - Risk factors associated with gastroesophageal reflux disease relapse in primary care patients successfully treated with a proton pump inhibitor JO - Revista de Gastroenterología de México T2 - AU - López-Colombo,A. AU - Pacio-Quiterio,M.S. AU - Jesús-Mejenes,L.Y. AU - Rodríguez-Aguilar,J.E.G. AU - López-Guevara,M. AU - Montiel-Jarquín,A.J. AU - López-Alvarenga,J.C. AU - Morales-Hernández,E.R. AU - Ortiz-Juárez,V.R. AU - Ávila-Jiménez,L. SN - 2255534X M3 - 10.1016/j.rgmxen.2017.03.002 DO - 10.1016/j.rgmxen.2017.03.002 UR - http://www.revistagastroenterologiamexico.org/en-risk-factors-associated-with-gastroesophageal-articulo-S2255534X17300117 AB - BackgroundThere are no studies on the factors associated with gastroesophageal reflux disease (GERD) relapse in primary care patients. AimTo identify the risk factors associated with GERD relapse in primary care patients that responded adequately to short-term treatment with a proton pump inhibitor. Patients and methodsA cohort study was conducted that included GERD incident cases. The patients received treatment with omeprazole for 4 weeks. The ReQuest questionnaire and a risk factor questionnaire were applied. The therapeutic success rate and relapse rate were determined at 4 and 12 weeks after treatment suspension. A logistic regression analysis of the possible risk factors for GERD relapse was carried out. ResultsOf the 83 patient total, 74 (89.16%) responded to treatment. Symptoms recurred in 36 patients (48.64%) at 4 weeks and in 13 patients (17.57%) at 12 weeks, with an overall relapse rate of 66.21%. The OR multivariate analysis (95% CI) showed the increases in the possibility of GERD relapse for the following factors at 12 weeks after treatment suspension: basic educational level or lower, 24.95 (1.92-323.79); overweight, 1.76 (0.22-13.64); obesity, 0.25 (0.01-3.46); smoking, 0.51 (0.06-3.88); and the consumption of 4-12 cups of coffee per month, 1.00 (0.12-7.84); citrus fruits, 14.76 (1.90-114.57); NSAIDs, 27.77 (1.12-686.11); chocolate, 0.86 (0.18-4.06); ASA 1.63 (0.12-21.63); carbonated beverages, 4.24 (0.32-55.05); spicy food 7-16 times/month, 1.39 (0.17-11.17); and spicy food ≥ 20 times/month, 4.06 (0.47-34.59). ConclusionsThe relapse rate after short-term treatment with omeprazole was high. The consumption of citrus fruits and NSAIDs increased the possibility of GERD relapse. ER -