Search results for "GERD"
Endoscopic eradication therapy plus reflux control associated with decreased Barrett's recurrence rates
Standard reflux management protocol involved initial consultation that emphasized reflux control and proton-pump inhibitor (PPI) adherence, initiation or continuation of PPI therapy as described, medication reconciliation and assessment or remediation of PPI adherence at each study visit, and on-treatment reflux testing.
https://gastroenterology.acponline.org/archives/2017/02/24/2.htm
24 Feb 2017
In reflux-related heartburn unresponsive to PPIs, surgery increased treatment success vs active medical treatment
An ACP Journal Club commentary noted that physicians should not change their practice based on the results of the trial, which are in contrast to the literature and expert opinion, until they are confirmed by studies assessing objective primary end points.
https://gastroenterology.acponline.org/archives/2020/03/27/12.htm
27 Mar 2020
GERD recurrence appears common after laparoscopic antireflux surgery
Researchers in Sweden performed a population-based cohort study using national databases to determine recurrence risk in 2,655 patients who had antireflux surgery between Jan. 1, 2005, and Dec. 31, 2014.
https://gastroenterology.acponline.org/archives/2017/09/22/1.htm
22 Sep 2017
MKSAP Quiz: Dysphagia to solid foods
This month's quiz asks readers to determine the most appropriate diagnostic test to perform in a 57-year-old patient with dysphagia to solid foods, weight loss, and a history of gastroesophageal reflux disease.
https://gastroenterology.acponline.org/archives/2022/03/25/4.htm
25 Mar 2022
MKSAP Quiz: Hospitalization for gallstone pancreatitis
This month's quiz asks readers to determine the most appropriate management for a 40-year-old woman who was hospitalized 3 days ago with gallstone pancreatitis.
https://gastroenterology.acponline.org/archives/2023/04/21/4.htm
21 Apr 2023
MKSAP quiz: Management of atypical chest pain
This month's quiz asks readers to determine the most appropriate course of management for a 56-year-old woman with chest discomfort that intermittently occurs after meals and while walking up stairs.
https://gastroenterology.acponline.org/archives/2019/10/25/4.htm
25 Oct 2019
Spotlight on screening for Barrett's esophagus
Recent studies looked at a nonendoscopic test for Barrett's esophagus in primary care, as well as screening for the condition before and after gastric bypass procedures.
https://gastroenterology.acponline.org/archives/2020/08/28/5.htm
28 Aug 2020
Many patients with ‘refractory’ heartburn successfully treated with PPI regimen
Among study participants whose reflux-related heartburn truly did not respond to a proton-pump inhibitor (PPI), surgery (laparoscopic Nissen fundoplication) was more effective than medical therapy (omeprazole and baclofen plus desipramine if needed).
https://gastroenterology.acponline.org/archives/2019/10/25/1.htm
25 Oct 2019
MKSAP quiz: History of heartburn
This month's quiz asks readers to evaluate a patient with heartburn that awakens him at night and is not completely relieved by over-the-counter antacids.
https://gastroenterology.acponline.org/archives/2018/05/25/4.htm
25 May 2018
MKSAP Quiz: An epigastric burning sensation
A 45-year-old man reports a two-month history of a burning sensation starting in his stomach and radiating into his chest, usually occurring several times per week. He reports no dysphagia or unintentional weight loss and takes no medication. What is the most appropriate next step in management?
https://gastroenterology.acponline.org/archives/2021/06/25/5.htm
25 Jun 2021