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Published byHenry Gayles
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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
A 50-year-old man with a history of symptomatic gastroesophageal reflux disease (GERD) has Barretts esophagus diagnosed on upper endoscopy. Which of the.
The role of surgery in the modern management of dyspepsia Mr Paras Jethwa Bsc MD FRCS Surrey & Sussex NHS Trust and Spire Gatwick Hospital.
Fisiopatologia del Reflusso e delle Plastiche Antireflusso XXIV Congr. Naz. ACOI, Montecatini 2005 Sez. Chirurgia Esofago- Gastrica U.Fumagalli I I I C.
Laryngopharyngeal Reflux & Granuloma By Isabel C. Bula Presented to Rebecca L. Gould, MSC, CCC-SLP.
Il sottoscritto EDOARDO SAVARINO in qualit à di docente dell evento sopra indicato, ai sensi dell art. 3.3 sul Conflitto di Interessi, pag. 17 del Reg.
Pulmonary/CC Board Review. A 25-year-old woman is evaluated for recurrent episodes of acute dyspnea associated with rapid breathing, tightness in her.
Upper GI quiz PBL 28. Helicobacter infection in the stomach is associated with: a)Gastric carcinoma b)Acute gastric ulceration c)Chronic duodenal ulceration.
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To the ileum ……. and beyond Dr. Matt W. Johnson BSc MBBS MRCP (??MD!!) Consultant Gastroenterologist.
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ALOK SINHA Department of Medicine Manipal College of Medical Sciences Pokhara, Nepal.
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What is Osteopathic Medicine What is Osteopathic Medicine.
Lung Cancer The BIG Kahuna among Tumors. Why is Lung Cancer the BIG Kahuna? Number 1 cause of cancer deaths in both men and women now Only major cancer.
Clinical Scenario 30 year old, male Call center representative Epigastric pain Denies any alarm features Smoker; alcohol and coffee drinker Unremarkable.
URTI Dr Bruce Davies Scope Throats. Noses. Coughs. Sinuses. Otitis media. Otitis externa.
Pimp Session…. The esophagus has no _______. Serosa.
Skin conditions a Health Care Needs Assessment: key messages Julia Schofield Special Lecturer University of Nottingham Principal Lecturer University of.
UGI Bleeding Epidemiology of Upper GI Bleeding Bleeding from a source above the ligament of Treitz 1 case/1,000 adults/year 50% of cases are peptic ulcer.
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