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Published byHenry Gayles
Modified over 4 years ago
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
The role of surgery in the modern management of dyspepsia
Fisiopatologia del Reflusso e delle Plastiche Antireflusso XXIV Congr. Naz. ACOI, Montecatini 2005 Sez. Chirurgia Esofago- Gastrica U.Fumagalli I I I C.
A 50-year-old man with a history of symptomatic gastroesophageal reflux disease (GERD) has Barrett’s esophagus diagnosed on upper endoscopy. Which of.
Esophageal Function Testing and Ambulatory Impedance pH Monitoring The Oregon Clinic GI Division.
Management of Achalasia
Nursing Care of Patients WithUpper GI Disturbances
Dimitrios Stefanidis, MD, PhD Steven B. Goldin, MD, PhD
GORD & Peptic ulcers Dr Alex Timperley FY2. Objectives Aetiology Signs & symptoms Investigations Management Complications Example cases.
GERD Brandon Hoff.
Sally Bowa, RN, MSN, FNP-C Dr. Hass Jassim,
Peptic ulcer disease.
ESOPHAGEAL pH STUDIES IN ESOPHAGEAL DISEASE
GERD and Peptic ulcer disease
WILLIAM J. SALYERS, JR., MD, MPH DIVISION CHIEF/MEDICAL DIRECTOR KU WICHITA GASTROENTEROLOGY ASSOCIATE PROGRAM DIRECTOR INTERNAL MEDICINE RESIDENCY Putting.
1 Literature Review Peter R. McNally, DO, FACP, FACG Lone Tree, Colorado.
PEPTIC ULCER DISEASE NRS452 Norhaini Majid.
PUD & GORD Nik Sanyal. Overview How common is it + what are the risk factors? What are the symptoms and signs? Investigations Management Possible exam.
ENT Gerard Kelly and general practice The Leeds Teaching
The Non-Medical Treatments of the Gastroesophageal Reflux Disease (GERD) Joint Hospital Grand Round Prepared by Siu Yin Yu, Eva North District.
New Developments in Gastroenterology at West Herts High Resolution oesophageal manometry and 24 hour pH studies Dr Mark Fullard Consultant Gastroenterologist.
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