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 2019 Surveillance of 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 13 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 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 Gastro oesophageal Reflux Disease in Adults written by and published by . This book was released on 1993 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 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 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.
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 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 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 Gastroesophageal Reflux Disease written by Gary Gitnick and published by Professional Communications. This book was released on 2008-04 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides the clinician with information about causation, complications, natural course, and management of GERD. The efficacy, safety, and suggested regimens of pharmacologic therapies are discussed. Data on the relationship between GERD and asthma are presented. The clinical presentation of GERD patients with chronic cough and laryngitis is discussed in detail.
Download or read book Coping with Chronic Heartburn written by Elaine Fantle Shimberg and published by Macmillan. This book was released on 2002-04-15 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A brief study of the problems of acid reflux and heartburn and advice on coping.
Download or read book GI Epidemiology written by Nicholas J. Talley and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authoritative new text from the experts in GI populationstudies This book covers both key methodological issues and the mostimportant information in the field, disease by disease. It focuseson population-based information and studies looking at principlesand approaches to diagnosis and treatment of diseases. GI Epidemiology brings together world authorities inmultiple disciplines for the very first time, to create one clearand comprehensive source. The bulk of the chapters are divided intotwo parts, covering methodological issues and the epidemiology ofspecific GI diseases. Each chapter begins with a list of keypoints, followed by a review written in a clear and simplestyle. The methodologic chapters cover evidence-based medicine,meta-analysis, systematic reviews, genetic and molecularepidemiology, clinical trials, questionnaire design, and healtheconomics. The disease-specific chapters note the current gaps inknowledge and suggest areas for further study. GI Epidemiology serves as both a useful refresher and areliable reference on the methods and techniques used inepidemiological studies for consultants and researchers ingastroenterology. It is also an invaluable tool for fellows/trainees ingastroenterology, candidates for recertification in the combineddisciplines of gastroenterology, pediatric gastroenterology andcolorectal surgery, and anyone completing MPH training.
Download or read book The Fire Inside written by M. Michael Wolfe and published by W. W. Norton & Company. This book was released on 1996 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wolfe and Nesi provide information about treating and preventing one of the most widespread medical problems: acid reflux, whose prime symptom is heartburn.
Download or read book Mayo Clinic Gastroenterology and Hepatology Board Review written by Stephen C. Hauser and published by CRC Press. This book was released on 2003-08-27 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gastroenterology and Hepatology encompass a vast anatomic assortment of organs with diverse structure and function and the potential for affliction from a multiplicity of diseases. Completely covering these complex and interrelated systems, Mayo Clinic Gastroenterology and Hepatology Board Review provides an in-depth examination of essential knowledge in gastroenterology, hepatology, and the integral related areas of pathology, endoscopy, nutrition, and radiology. With contributions from experts at Mayo Clinic who are currently in clinical practice and have a strong commitment to teaching, the book assists physicians-in-training to prepare for the gastroenterology board examination.
Download or read book Gastro oesophageal reflux disease written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The diagnosis and initial treatment of gastro-oesophageal reflux disease is based on clinical symptoms. An endoscopic examination of the upper gastrointestinal tract should be carried out in patients with alarming signs and/or symptoms: dysphagia or pain on swallowing vomiting weight loss anaemia severe symptoms resistant to conventional treatment.
