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Common Symptoms Heartburn Globus Chest Pains
Complex Reflux Symptoms Mass Reflux Cough/Asthma/recurrent Chest Infections Sore Throat
Complex Symptoms Dysphagia Pain
Differential Diagnoses Cancer Dysmotility –Oesophageal –gastric
Treatment Conservative Medical –PPI –Barrier Surgical
Medical vs Surgical Only three Trials of Lap vs Medicine –Mahon 2005 –Anvari 2006 –Grant 2008 All Show improve QOL at 1 year
Indications for Surgery Lifestyle Breakthrough Symptom Control Complex Reflux Control
Why pH Manometry Prove reflux Avoid dysmotility Manage expectation
Patients All three patients described have –Dysphagia –Odynophagia –Reflux
Hypotensive dysmotility – typical of GORD
Structural obstruction at the PIP
Complex Reflux Disease Mr Yuen Soon
Yuen Soon Oesophagogastric Laparoscopic Physiology.
DYSPHAGIA Mr Andrew Lale Consultant ENT surgeon.
Understanding Your Gastroesophageal Reflux Disease (GERD)
(GERD). Gastroesophageal reflux is a normal physiologic phenomenon experienced intermittently by most people, particularly after a meal. Gastroesophageal.
Medical and Surgical Management of Gastroesophageal Reflux Disease (GERD) Edward Auyang, MD, MS, FACS Assistant Professor of Surgery Director of Minimally.
Gastro-oesophageal reflux disease is the term used to describe a histopathological alteration resulting from episodes of reflux of acid, pepsin and occasionally.
GERD Seminar Sally Bowa, RN, MSN, FNP-C Dr. Hass Jassim,
A 50-year-old man with a history of symptomatic gastroesophageal reflux disease (GERD) has Barretts esophagus diagnosed on upper endoscopy. Which of the.
1 Literature Review Peter R. McNally, DO, FACP, FACG Lone Tree, Colorado.
Case1 :Esophageal Cancer Diagnosis Management Case2 : Achalasia Diagnosis Management Case3 : GERD Diagnosis Management.
DYSPEPSIA. Dyspepsia Implies chronic GORD IBS Ulcers Gall Stones Cancer ‘Functional’
Gastro-Oesophageal Reflux Disorder ● Present in around 10% of the population ● Symptoms or damage to the mucosal lining of the distal oesophagus ● Caused.
Chest Pain (GERD) Dimitrios Stefanidis, MD, PhD Steven B. Goldin, MD, PhD.
Esophageal Problems after Gastric Banding Christine Ren Fielding, MD Associate Professor, Surgery NYU School of Medicine MISS 2011 Salt Lake City, UT.
Fisiopatologia del Reflusso e delle Plastiche Antireflusso XXIV Congr. Naz. ACOI, Montecatini 2005 Sez. Chirurgia Esofago- Gastrica U.Fumagalli I I I C.
Upper GI Disease Where we are Dr Gary Mackenzie Consultant Gastroenterologist.
Posterior Diverticulum with the neck originating at a site proximal to the Upper esophageal sphincter First described by Ludlow in 1767, named for.
Component 3-Terminology in Healthcare and Public Health Settings Unit 11-Respiratory System This material was developed by The University of Alabama at.
Bob Etemad, MD Medical Director of Endoscopy Main Line Health System.
DISEASES OF THE OESOPHAGUS BY Dr. ARWA M FUZI Lecture 1.
GASTRO-OESOPHAGEAL REFLUX DISEASE By Dr A S Maiyaki (FWACP) Gastroenterology Unit Department of Medicine Usmanu Danfodiyo University Teaching Hospital,
Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Efficacy of Omeprazole for the Treatment of Symptomatic.
The role of surgery in the modern management of dyspepsia Mr Paras Jethwa Bsc MD FRCS Surrey & Sussex NHS Trust and Spire Gatwick Hospital.
This lecture was conducted during the Nephrology Unit Grand Ground by a Sub-intern under Nephrology Division, Department of Medicine in King Saud University.
Gerard Kelly MD MEd FRCS (ORL-HNS) FRCS (Ed) ENT surgeon, Leeds 6 th March 2014, Leeds Masonic Hall ENT The Leeds Teaching Hospitals NHS Trust and general.
H IATAL H ERNIA C ASE S TUDY By Sally Smith Pathophysiology 5/2010.
PUD & GORD Nik Sanyal. Overview How common is it + what are the risk factors? What are the symptoms and signs? Investigations Management Possible exam.
A gastroenterologist’s view of post- surgical complications George Triadafilopoulos, MD Clinical Professor of Medicine Stanford University School of Medicine.
Robbins and Davidson’s. How would this infection appear macroscopically and what kind of population would you expect to receive this sample from.
Oesophageal Cancer. -improving outcomes. Anil Kaul Consultant General and Upper GI Surgery St Helens and Knowsley Teaching Hospitals NHS Trust.
History Taking Skill Otorhinolaryngologic Aspects Sasan Dabiri, M.D. Department of Otorhinolaryngology – Head & Neck Surgery Amir A’lam hospital Tehran.
High Value Care: GERD Sheetal Sharma, MBBS Assistant Professor of Clinical Medicine Associate Director of Endoscopic Quality Section of Advanced Therapeutic.
Hoarseness Of Voice Saba Yahya Abdelnabi. Introduction Human voice is so complex that it not only conveys meaning, it also is capable of conveying subtle.
Peptic ulcer disease. A peptic ulcer is a break in the inner lining of the esophagus, stomach, or duodenum. A peptic ulcer of the stomach is called a.
ESOPHAGEAL pH STUDIES IN ESOPHAGEAL DISEASE General Thoracic Surgery Chapter 119.
Copyright © 2005, Duke Internal Medicine Residency Curriculum and DHTS Technology Education Services Duke Internal Medicine Residency Curriculum Question.
New Developments in Gastroenterology at West Herts High Resolution oesophageal manometry and 24 hour pH studies Dr Mark Fullard Consultant Gastroenterologist.
Noninfectious Diseases. Vocabulary Signs – something another person can see or measure… such as a fever Symptoms – a feeling of pain or discomfort you.
Gastroespohageal Reflux Disease (GERD) & Laryngopharyngeal Reflux Disease (LPRD) Michelle Dotto April 3, 2003 Voice Disorders ASC 823C.
Peptic ulcer disease & GORD Students4Students Hugh Tulloch
GastroEsophageal Reflux Disease (GERD) Marijo Čukelj Mentor: A. Žmegač Horvat.
Health-related quality of life in patients with oesophageal- and gastric cancer Lovisa Backemar, MD Surgical Care Sciences Department of Molecular Medicine.
Dyspepsia. one or more of the following symptoms Postprandial fullness, early satiation, epigastric pain, or burning.
Digestive Disorders Esophageal Disorders. Esophagus The organ which moves food from the pharynx to the stomach Moves food through the process of.
Esophageal Function Testing and Ambulatory Impedance pH Monitoring The Oregon Clinic GI Division.
ESOPHAGEAL DISEASES Prof. Saleh M. Al-Amri Consultant, Gastroenterology Unit College of Medicine & K.K.U.H. King Saud University.
DYSPHAGIA - THE ROLE OF OESOPHAGEAL MOTILITY DISORDERS IAN WALLACE FCP(SA), FRACP. SHAKESPEARE SPECIALIST GROUP MILFORD, AUCKLAND.
By Dalia Munoz ASTHMA. is a serious and ongoing disease that affects the airways of both adults and children. Airways are the tubes that carry air in.
PEPTIC ULCER DISEASE NRS452 Norhaini Majid. Introduction PUD,a break in a mucous lining of GI tract Duodenal - most common, age Gastric Ulcer –
The Non-Medical Treatments of the Gastroesophageal Reflux Disease (GERD) Joint Hospital Grand Round Prepared by Siu Yin Yu, Eva North District.
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