Search results for "GERD"
AGA clinical practice update offers guidance on PPI deprescribing
All patients taking a proton-pump inhibitor (PPI) should have a regular review and documentation of ongoing indications for use, which should be the responsibility of the primary care clinician, the American Gastroenterological Association (AGA) said.
https://gastroenterology.acponline.org/archives/2022/02/25/6.htm
25 Feb 2022
ACG guideline updates recommendations on diagnosis, management of GERD
Proton-pump inhibitors remain a standard treatment for gastroesophageal reflux disease (GERD) despite increased scrutiny of side effects, although new treatments are emerging, the guideline from the American College of Gastroenterology (ACG) stated.
https://gastroenterology.acponline.org/archives/2021/12/17/1.htm
17 Dec 2021
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
Sessions from ACG 2020 tackled persistent GERD, acute colonic pseudo-obstruction
Coverage of the American College of Gastroenterology's annual meeting in the February ACP Internist and ACP Hospitalist offered advice on managing patients with persistent gastroesophageal reflux disease (GERD) and recognizing acute colonic pseudo-obstruction.
https://gastroenterology.acponline.org/archives/2021/02/26/6.htm
26 Feb 2021
Wireless monitoring identified patients who could discontinue PPIs
Patients with reflux symptoms and inadequate response to proton-pump inhibitors (PPIs) discontinued the drugs for a week and then had their acid exposure time measured by a wireless pH capsule in a recent study.
https://gastroenterology.acponline.org/archives/2020/09/25/3.htm
25 Sep 2020
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
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
MKSAP Quiz: 3-month history of dysphagia, regurgitation
A 52-year-old man is evaluated for dysphagia of 3 months' duration. He reports regurgitating undigested food soon after eating solid food, occasional coughing and choking after swallowing, and chronic halitosis. What is the most appropriate diagnostic test to perform next?
https://gastroenterology.acponline.org/archives/2020/02/28/4.htm
28 Feb 2020
Internists may overestimate risks of PPIs, survey suggests
A survey of internists showed that 79% inappropriately recommended stopping proton-pump inhibitors (PPIs) in a prevention scenario focusing on high-risk upper gastrointestinal bleeding.
https://gastroenterology.acponline.org/archives/2020/02/28/3.htm
28 Feb 2020
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