Obesity and GERD

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Obesity and GERD

Epidemiologic data have demonstrated that obesity is an important risk factor for the development of gastroesophageal reflux disease (GERD). There is also accumulating data that obesity is associated with complications…

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Extraesophageal Presentations of GERD

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Extraesophageal Presentations of GERD

This article reviews the evaluation and management of patients with suspected extraesophageal manifestations of gastroesophageal reflux disease, such as asthma, chronic cough, and laryngitis, which are commonly encountered in gastroenterology…

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Surgical Treatment of GERD

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Surgical Treatment of GERD

Surgical management of gastroesophageal reflux disease has evolved from relatively invasive procedures requiring open laparotomy or thoracotomy to minimally invasive laparoscopic techniques. Although side effects may still occur, with careful…

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Medical Treatments of GERD

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Medical Treatments of GERD

The mainstay of pharmacological therapy for GERD is gastric acid suppression with proton pump inhibitors (PPIs), which are superior to histamine-2 receptor antagonists for healing erosive esophagitis and achieving symptomatic…

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Acid and Nonacid Reflux Monitoring

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Acid and Nonacid Reflux Monitoring

Detection of acid and nonacid reflux using esophageal reflux monitoring, which includes conventional and wireless pH monitoring and pH impedance, can be a valuable diagnostic tool when used appropriately in…

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Esophageal Manometry in Gastroesophageal Reflux Disease

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Esophageal Manometry in Gastroesophageal Reflux Disease

High-resolution manometry (HRM) allows nuanced evaluation of esophageal motor function, and more accurate evaluation of lower esophageal sphincter (LES) function, in comparison with conventional manometry. Pathophysiologic correlates of gastroesophageal reflux…

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Barium Esophagram

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Barium Esophagram

The barium esophagram is an integral part of the assessment and management of patients with gastroesophageal reflux disease (GERD) before, and especially after, antireflux procedures. While many of the findings…

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Role of Endoscopy in GERD

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Role of Endoscopy in GERD

Endoscopy is commonly performed for the diagnosis and management of gastroesophageal reflux disease (GERD). Endoscopy allows the physician to evaluate esophageal mucosa for evidence of esophagitis and Barrett esophagus, to…

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