Download or read book Dyspepsia and Gastro Oesophageal Reflux Disease written by Internal Clinical Guidelines Team (UK) and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Dyspepsia and Gastro oesophageal Reflux written by and published by . This book was released on 2007 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background Dyspepsia is a broad term for a range of symptoms - abdominal bloating after eating, early satiety, and pain or burning sensation in the upper gastrointestinal tract - that are assumed to originate from the stomach or duodenum. Dyspepsia is referred to as organic if clinical investigation can trace the symptoms to a demonstrable disease, such as a peptic ulcer or cancer, and functional if it cannot. Heartburn and acid regurgitation are no longer considered to be symptoms of dyspepsia, but of gastro-oesophageal reflux (the backflow of acid or stomach contents into the oesophagus). Uninvestigated dyspepsia and uninvestigated reflux symptoms are those that have not been subjected to an oesophago-gastro-duodenoscopy (OGD) or any other diagnostic examinations of the oesophagus, stomach and duodenum. Both the symptoms and underlying causes vary widely. Some patients may have peptic ulcers or oesophagitis (inflammation and superficial ulceration of the oesophagus), while others may have cancer. ConclusionsUninvestigated Gastro-oesophageal Reflux Symptoms1. Both proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) are more effective than placebo for relieving gastro-oesophageal reflux symptoms (strong scientific evidence), and PPIs are more effective than H2RAs (strong scientific evidence).2. A considerable percentage of patients who are treated for acid gastro-oesophageal reflux symptoms without preceding investigation are satisfied with on-demand PPI therapy or continuous H2RA therapy (limited scientific evidence). Uninvestigated Dyspepsia1. When it comes to relieving symptoms in patients with uninvestigated dyspepsia, no significant differences have been found between diagnosis of Helicobacter pylori (H. pylori) bacteria combined with treatment of detected infection and an OGD combined with treatment of detected disorders (moderately strong scientific evidence). Empirical therapy with acid inhibitors relieves symptoms as effectively as treatment based on an OGD (limited scientific evidence).2. Both advanced age and the presence of alarm symptoms in dyspepsia - including bleeding, dysphagia (difficulty swallowing) and weight loss - increase the probability of an underlying malignant tumour (limited scientific evidence). But a considerable percentage of patients with a tumour have no alarm symptoms at their first medical consultation (limited scientific evidence). Functional Dyspepsia1. Acid inhibitors can provide some relief of the symptoms of functional dyspepsia (limited scientific evidence). But because the evaluated studies sometimes include patients with gastro-oesophageal reflux symptoms, the efficacy of the drugs is difficult to assess.2. Antibiotic therapy that eradicates H. pylori (eradication therapy) can offer a little relief of the symptoms of functional dyspepsia (limited scientific evidence), but most patients with functional dyspepsia are not infected with the bacteria and do not benefit (moderately strong scientific evidence). Treating Helicobacter pylori in Peptic Ulcer Disease1. H. pylori eradication therapy considerably reduces the risk for reoccurrence of a peptic ulcer (strong scientific evidence).2. H. pylori eradication therapy is more effective than acid inhibitors alone in preventing reoccurrence of a bleeding peptic ulcer (strong scientific evidence). The conclusion applies only to patients without concurrent non-steroidal anti-inflammatory drug (NSAID) therapy.3. One week of triple therapy for H. pylori eradication that is not followed by acid inhibition therapy is as effective as one week of triple therapy for H. pylori eradication followed by 2-3 week acid inhibition therapy when it comes to both healing duodenal ulcers (limited scientific evidence) and relieving their symptoms (limited scientific evidence). Gastro-oesophageal Reflux Disease1. Normal doses of PPIs are more effective than H2RAs for treating gastro-oesophageal reflux disease (GERD) with coexisting oesophagitis (strong scientific evidence). Longer treatment periods and higher doses of PPIs lead to healing of oesophagitis in more patients (strong scientific evidence).2. Continuous PPI therapy is more effective than on-demand PPI therapy for long-term treatment of GERD with coexisting oesophagitis (strong scientific evidence). On-demand PPI therapy and continuous PPI therapy are equally effective for long-term treatment of GERD without oesophagitis (strong scientific evidence).3. Long-term PPI therapy is safe (strong scientific evidence) and equally effective as surgery (moderately strong scientific evidence), making it suitable for younger people as well. Occasional deaths and frequent adverse effects have been reported in connection with surgical intervention (strong scientific evidence). Barrett's Oesophagus1. Barrett's oesophagus increases the risk of developing oesophageal adenocarcinoma (limited scientific evidence), but the extent to which the risk increases is not fully known.2. No studies have proven the benefits of systematic endoscopic examinations (screening) to identify people with Barrett's oesophagus or regular endoscopic examinations of people with Barrett's oesophagus (surveillance).3. There is a lack of well-designed scientific studies showing that acid inhibitor therapy or anti-reflux surgery significantly reduce the risk of developing oesophageal adenocarcinoma in patients with Barrett's oesophagus. Additional Research Needs Both the underlying causes and progress of functional dyspepsia are still unknown. That is largely true of GERD as well. Although researchers have identified the decisive role played by H. pylori, there are large gaps in our knowledge about the causes and progress of peptic ulcer disease, as well as the factors that determine whether or not life-threatening complications develop. Knowledge is largely lacking about the significance of gender in these conditions. The relevance of lifestyle factors - such as diet, physical activity and body weight - for the development of GERD and the prospects for influencing its progress also requires additional research. Clinical trials concerning the role of healing of oesophagitis, as well as the long-term effects of both medical and surgical intervention for reflux disorders, would also be beneficial. More studies are needed that examine the impact of H. pylori eradication therapy on a broader scale in the context of everyday health care. More reliable information is required about how much of a risk factor Barrett's oesophagus is for oesophageal adenocarcinoma, as well as the effectiveness of endoscopic screening and surveillance. Additional efforts are needed to identify clinically useful indicators or markers for cancer risk. Both general and targeted health economic studies covering the entire field of dyspepsia and reflux disorders are badly needed. Independent, community-financed research is particularly urgent.

Download or read book Gastro oesophageal Reflux Disease and Dyspepsia in Adults written by National Institute for Health and Care Excellence (Great Britain) and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Dyspepsia and Gastro oesophageal Reflux written by and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Fast Facts Dyspepsia written by Kenneth L. Koch and published by Karger Medical and Scientific Publishers. This book was released on 2003-02-01 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dyspepesia is very common in the western world and, in addition to the considerable discomfort caused to sufferers, carries with it enormous economic and social consequences. The bulk of the responsibility for diagnosis and subsequent management falls to the primary healthcare physician and other members of the healthcare team. 'Fast Facts: Dyspepsia' is an expert guide to the causes, diagnosis and management of each condition for this specific group. • A concise presentation of practical, up-to-date information on the etiopathogenesis, diagnosis and management of dyspepsia focusing on current drug therapy • Excellent review of presenting features, organic and functional causes, management and treatment options and possible future developments • Excellent tables and illustrations support core clinical description • A timely and accessible text for primary care physicians and specialist nurses who frequently manage this common condition Contents: • Approaching uninvestigated dyspepsia • Gastroesophageal reflux disease • Helicobacter pylori • Peptic ulcer • Carcinoma of the esophagus and stomach • Functional dyspepsia; Future trends

Download or read book Integrative Gastroenterology written by Gerard E. Mullin and published by Oxford University Press. This book was released on 2019-09-27 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Digestive complaints have become increasingly common. Recent statistics show that gastrointestinal complaints account for nearly a third of all visits to primary care doctors and that nearly one in two Americans suffer from digestive disease. Millions more suffer from conditions such as migraine headaches, arthritis, mood disorders, chronic fatigue, asthma, allergies, and menstrual dysfunction, which are all related to a disorder in digestive health. Despite the evidence in support of integrative approaches to treatment and prevention of digestive symptoms, these approaches are largely overlooked in treating gastrointestinal disorders. Rather, treatment plans tend to be exclusively pharmacologically based and have appreciable toxicity. Integrative Gastroenterology, Second edition, is a comprehensive guide to helping health care practitioners understand and appreciate how to manage patients with gastrointestinal conditions integrating conventional and complimentary approaches. This text reviews the latest advances in science and research with regards to the gut microbiome, physiology, and interconnections between the gut and other organ systems. Coverage includes a diverse range of treatment methods, such as probiotics, meditation, massage, yoga, supplements, special diets, energy medicine, homeopathy, and acupuncture, as well as a special section devoted to mind-body medicine in digestive health and disease. In discussing unconventional treatments, the authors address many of the controversies that surround the remedies.

Download or read book GERD written by David A. Olle and published by Mercury Learning and Information. This book was released on 2015-06-22 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gastroesophageal reflux disease (GERD), also known as acid reflux, is a very common condition affecting around 20-40 % of the population over a one year period. This book describes all the essential features of GERD for the general public in an engaging and stimulating manner that facilitates learning and reinforcement. This is accomplished by applying methods that accommodate various learning styles, including the use of illustrations, tables, charts, and boxes that highlight definitions, facts, or website links for more detailed information. FEATURES: • Provides questions and answers about the features, definitions, and descriptions of GERD • Includes numerous in-text Web links to WebMD, the National Institutes of Health (NIH), USDA, the CDC, pharmaceutical companies, YouTube, and other sites with animations, diets, practical case studies, and tools related to GERD. SELECTED TOPICS: Causes, risk factors, symptoms, degrees of GERD, anatomy and physiology of the esophagus, lower esophageal sphincter and stomach as it relates to GERD, complications, diagnostic tests, and treatments based on lifestyle modifications, medications, endoscopic procedures, and surgery, diets.

Download or read book GERD dyspepsia written by Ronnie Fass and published by Elsevier Health Sciences. This book was released on 2004 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gastroesophageal Reflux Disease (GERD) and Dyspepsia are two of the most common GI disorders facing practitioners today. This volume presents concise, practical, up-to-date information on the diagnosis and management of GERD and Dyspepsia with emphasis on current drug therapy. Generous use of tables, charts, bulleted information, and figures make this both a timely and easily accessible volume. Provides the latest information on the management and drug therapy of this increasingly common condition "Key Points" sections focus on the most important aspects of care Attractive two-color format highlights the text Introductory section on "What's Hot" focuses on cutting edge developments Special focus on latest drug therapies

Download or read book ABC of the Upper Gastrointestinal Tract written by Robert Logan and published by BMJ Books. This book was released on 2002-03-22 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new ABC concentrating on major upper Gastrointestinal disorders reflects the latest advances in understanding of the pathophysiology and pathogenesis of upper GI diseases most of which now have precise diagnostic methods and relational and effective medical and surgical managements.

Download or read book Epidemiology and Management of Gastro Esophageal Reflux Disease and Functional Dyspepsia in the Hong Kong Chinese written by Ping-Yi Victoria Tan and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Epidemiology and Management of Gastro-esophageal Reflux Disease and Functional Dyspepsia in the Hong Kong Chinese" by Ping-yi, Victoria, Tan, 陳萍兒, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Gastro-esophageal Reflux Disease and Functional Dyspepsia are extremely common gastrointestinal conditions internationally and in East Asia, with prevalence rates of the two conditions being 10% and between 7-15%, respectively. East Asia includes China, the most populous country in the world, meaning that vast numbers of subjects are affected by these conditions chronically. Despite the scale of the problem in East Asia, relatively few studies have examined in a robust fashion whether GERD prevalence rates are rising in East Asia and the implications this has on the economics costs, both direct and indirect, of caring for patients with these conditions. Furthermore, the armamentarium available for non-erosive reflux disease and in particular, functional dyspepsia, is limited especially if treatments not supported by scientific evidence are excluded. Previous studies on the temporal trend of GERD in the East Asia and Asia-Pacific region have been hampered with issues of sampling methodology, use of different questionnaires and issues with the translation which make comparisons between countries and over time difficult. This thesis addresses these issues in a large cross-sectional population-based study and finds that GERD prevalence rates have significantly risen in the Hong Kong Chinese population, and that subjects with GERD consume disproportionately more healthcare services and experience more lost productivity than subjects without GERD. Finally, three double-blinded, placebo-controlled, randomized clinical studies were performed to investigate pharmacologic options for gastro-esophageal reflux disease and functional dyspepsia. One study was performed to determine the efficacy of proton pump inhibitors on non-erosive reflux disease as the availability of clinical studies to answer this question in East Asia is scant. This study finds that proton pump inhibitors at a standard dose, once daily are efficacious in the treatment of non-erosive reflux disease. The two final clinical studies were the first studies of their kind to investigate the use of selective serotonin selective reuptake inhibitors, an antidepressant and rifaximin in the treatment of functional dyspepsia. The intriguing results of the antidepressant study provoked further research by other researchers, whilst the strongly positive results of rifaximin in the treatment of functional dyspepsia, has added another treatment option to an area with few effective treatments. This body of work has spawned many other fascinating research questions which will no doubt be the subject of future research projects at this institution and others in the near future. DOI: 10.5353/th_b5689267 Subjects: Indigestion - China - Hong Kong Gastroesophageal reflux - China - Hong Kong

Download or read book Contemporary Diagnosis and Management of Dyspepsia and GERD written by Peter J. Kahrilas and published by Handbooks in Health Care Company. This book was released on 2002-01-01 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Handbook of Pediatric Surgery written by Chandrasen K. Sinha and published by Springer Science & Business Media. This book was released on 2010-06-25 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although pediatric surgery is a distinct and evolving specialty, it still remains an integral part of most general surgical and paediatric medical practice. Nevertheless, surgery in children does differ from adult practice in various fundamental ways, and there are key physiological and anatomical differences that constantly need underlining. Progress and improvement in outcome has also been rapid but it is sometimes difficult for practitioners to keep themselves up-to-date with the usual surgical or paediatric text books. This book will give a concise overview of all important topics and is designed to provide information in order to recognise the common surgical conditions; namely typical symptoms and signs, investigation and then treatment management. It will also provide an anatomical and physiological background to aid understanding, in addition to emphasising logical, and where possible, evidence-based practice by the use of flow charts, tables and algorithms. Authored by an international range of leading contributors, this is the first book of its kind to offer comprehensive coverage to this topic in a quick reference, pocket-book format.

Download or read book Dyspepsia and Gastro oesophageal Reflux written by Statens beredning för medicinsk utvärdering and published by . This book was released on 2007 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Heartburn written by M. Michael Wolfe and published by W. W. Norton & Company. This book was released on 1997 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first book on the subject of chronic heartburn for general readers, "Heartburn" dispels myths about the malady, calms fears, and points sufferers toward the correct diagnosis and therapies. Updated with a new Preface. Featured on "Today".

Download or read book Coping with Chronic Heartburn written by Elaine Fantle Shimberg and published by St. Martin's Griffin. This book was released on 2013-05-21 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 10 percent of the U.S. population suffers from Chronic Heartburn, also known as Acid Reflux or GERD. Many people simply dismiss this condition--the symptoms of which can include sleeplessness, chronic sore throat, heartburn, hoarseness, and dental problems--as something to learn to live with. Recent studies, however, have shown that GERD can have serious effects such as an increased risk for esophagitis, ulcers of the throat, and even cancer of the esophagaus, catapulting this condition into the media spotlight. One of the first books to demystify this condition for the lay reader, Coping with chronic Heartburn offers help, relief, and advice to sufferers of GERD, including: *When to consult a doctor *Which tests you may have to undergo *Effective self-care treatments such as dietary change and over the counter medications *Promising alternative and herbal treatments *Details on the latest prevention and treatment developments, including a new surgical procedure with a 96% success rate.

Download or read book Non ulcer Dyspepsia written by J. P. Galmiche and published by John Libbey Eurotext. This book was released on 1991 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contains the proceedings of a colloquium on non-ulcer dyspepsia. The papers examine pathophysiological and therapeutic approaches to the condition.

Download or read book Gastroesophageal Reflux Disease written by Frank Alexander Granderath and published by Springer Science & Business Media. This book was released on 2006-05-20 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gastroesophageal reflux disease (GERD) is one of the most common disorders with an increasing prevalence and incidence in the last two decades. This book, edited by two experienced surgeons and a clinical psychologist in cooperation with numerous worldwide leading experts, presents clinically relevant information for gastroenterologists, internists, surgeons, residents and also nurses, who frequently care for GERD patients. Focusing on different treatment concepts – medical, endoscopic as well as surgical – the chapters include the basics of symptomatology and epidemiology, pathophysiology, GERD among different age groups, complications and its treatment, hiatal hernia or H. pylori and GERD, NERD and functional heartburn, diagnostic procedures and also presurgical examination. In addition, the patient's perspectives of disease, diagnostics and treatment are included, the same as economic aspects of GERD, and the impact of disease on quality of life or patient-reported outcomes after treatment.