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Copyright ©2013 Baishideng Publishing Group Co.
World J Gastroenterol. Oct 21, 2013; 19(39): 6529-6535
Published online Oct 21, 2013. doi: 10.3748/wjg.v19.i39.6529
Table 1 Principal mechanisms and factors involved in proton pump inhibitor resistance
Adherence to PPI therapy
Compliance
Dosing, time
Reflux pattern
Weakly acidic reflux
Proximal reflux
Mixed reflux
Residual acid refluxes
Esophageal hypersensitivity
Other mechanisms
Reduced PPI bioavailability
Increased PPI metabolism
Mutations cyt. p450