Fig. 23.1 Steroids can possibly accelerate recovery. However, if no contrast passes into the stomach, urgent intervention is necessary. The choice of method is between endoscopy and dilatation versus surgery….
Lifestyle modification Evidence of strength Reasonable to recommend? Sleep with head elevated Equivocal Not generally Avoid fatty meals Equivocal Not generally Avoid carbonated beverages Moderate Yes Select decaffeinated beverages Equivocal…
Prevalence Basis Geographic location Prevalence (%) 95 % CI (%) Reference GERD symptoms United States 24.2 18.2–30.5 [1] GERD/dyspeptic symptoms United States 35.2 14.8–58.9 [1] Any heartburn South Australia 50 …
Presenting problem 24 h pH + 24 h pH − GERD symptoms Regurgitation ++++ +++ Heartburn +++ + Regurg and HB ++++ +++ Esophagitis +++ ++ Dysphagia ++ + Barretts…
