Search results for "GERD"
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
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
MKSAP quiz: Follow-up for long-term heartburn
This month's quiz asks readers to determine the appropriate next step in management for a 70-year-old man who has had heartburn for 7 years.
https://gastroenterology.acponline.org/archives/2018/03/23/4.htm
23 Mar 2018
Spotlight on new tech in Barrett's esophagus
A new clinical practice update from the American Gastroenterological Association and a systematic review and meta-analysis focused on new technologies to detect Barrett's esophagus and Barrett's neoplasia.
https://gastroenterology.acponline.org/archives/2022/07/22/5.htm
22 Jul 2022
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
MKSAP quiz: Follow-up for persistent heartburn, chronic cough
This month's quiz asks readers to determine the most appropriate next diagnostic test for a 35-year-old man with persistent heartburn and chronic cough who takes pantoprazole twice daily for a one-year history of gastroesophageal reflux disease.
https://gastroenterology.acponline.org/archives/2019/02/22/4.htm
22 Feb 2019
In US veterans, PPIs were linked to increased all-cause and some cause-specific mortality compared with H2-blockers
The observational study cannot establish causation, and the only way to prove that proton-pump inhibitors (PPIs) cause the various adverse outcomes attributed to them is to compare them with placebo or no treatment in a randomized trial, according to an ACP Journal Club commentary.
https://gastroenterology.acponline.org/archives/2019/09/27/11.htm
27 Sep 2019
MKSAP quiz: 3-week history of substernal chest pain
This month's quiz asks readers to determine the appropriate next step in management for a 60-year-old woman with dull, nonradiating pain that is unrelated to activities.
https://gastroenterology.acponline.org/archives/2017/05/26/4.htm
26 May 2017
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
Probable carcinogen found in some ranitidine medicines
While the FDA is not calling for individuals to stop taking ranitidine at this time, it said that patients who wish to discontinue prescription use should talk to their clinician about other treatment options.
https://gastroenterology.acponline.org/archives/2019/09/27/9.htm
27 Sep 2019