By Philip Katz MD
Dr. Philip Katz has designed this specified reference, which bargains professional suggestion, personal tastes, and critiques on tricky medical questions typically linked to GERD. the original Q&A structure presents easy access to present info concerning GERD with the simplicity of a talk among colleagues. quite a few photos, diagrams, and references are integrated to reinforce the textual content and to demonstrate the therapy of GERD patients.
Curbside session in GERD: forty nine scientific Questions offers info easy adequate for citizens whereas additionally incorporating specialist suggestion that even high-volume clinicians will have fun with. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will enjoy the undemanding and informal structure and the specialist suggestion contained within.
Some of the questions which are answered:
• Can scientific remedy adjust the normal heritage of Barrett’s esophagus?
• Can antireflux surgical procedure adjust the normal background of Barrett’s esophagus?
• How does being pregnant have an effect on GERD? Is GERD in being pregnant a possibility for long term reflux?
• what's the organization of weight problems and GERD?
• What are the so-called extraesophageal manifestations of GERD?
• Is there a gender distinction in reflux disorder? Does this have an effect on treatment?
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Extra info for Curbside Consultation in GERD: 49 Clinical Questions
Rev Gastroenterol Disord. 2006;6(3):136-145. ) Normal or Search for Another Etiology pH Off Therapy (48 hour) Figure 7-2. (Reprinted from Vela MF, Camacho-Lobato L, Srinivasan R, Tutuian R, Katz PO, Castell DO. Simultaneous intraesophageal impedance and pH measurement of acid and nonacid gastroesophageal reflux: effect of omeprazole. Gastroenterology. ) 8 QUESTION MR. JONES HAS CLASSIC REFLUX SYMPTOMS EVEN WHILE TAKING BID ESOMEPRAZOLE. I HAVE CONSIDERED A PH PROBE WITH IMPEDANCE TO DOCUMENT NON-ACID REFLUX, BUT I AM WONDERING WHAT THERAPY I CAN PROVIDE EVEN IF THIS TEST IS CONCLUSIVE?
Simultaneous intraesophageal impedance and pH measurement of acid and nonacid gastroesophageal reflux: effect of omeprazole. Gastroenterology. ) 8 QUESTION MR. JONES HAS CLASSIC REFLUX SYMPTOMS EVEN WHILE TAKING BID ESOMEPRAZOLE. I HAVE CONSIDERED A PH PROBE WITH IMPEDANCE TO DOCUMENT NON-ACID REFLUX, BUT I AM WONDERING WHAT THERAPY I CAN PROVIDE EVEN IF THIS TEST IS CONCLUSIVE? The availability of combined multichannel intraluminal impedance (MII) pH monitoring has added to our ability to evaluate patients with symptoms suspected due to GERD refractory to antisecretory therapy.
Bibliography Castell DO, Katz PO. The acid suppression test for unexplained chest pain. Gastroenterology. 1998;115(1):222224. DeVault KR, Castell DO. American College of Gastroenterology. Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. Am J Gastroenterol. 2005;100(1):190-200. Fass R, Fennerty MB, Ofman JJ, et al. The clinical and economic value of a short course of omeprazole in patients with noncardiac chest pain. Gastroenterology. 1998;115(1):42-49. Metz DC, Inadomi JM, Howden CW, et al.
Curbside Consultation in GERD: 49 Clinical Questions by Philip Katz MD