Characterization of Gender-Related Disparity in Gastroesophageal Reflux Disease: Surgical Perspective from a Rural High-Volume Antireflux Program

2019 ◽  
Vol 85 (9) ◽  
pp. 494-496
Author(s):  
Medhat Fanous ◽  
Anja Jaehne ◽  
Sarah Williams ◽  
Amanda Lambert
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
High Volume

Tu1106 Characterization of Silent Gastroesophageal Reflux Disease (GERD) in Asymptomatic Adult Volunteers

2014 ◽  
Vol 146 (5) ◽  
pp. S-754
Author(s):  
Mikhail Lisovsky ◽  
Siddhartha Y. Parker ◽  
Scott L. Gabbard ◽  
Kristen Muller ◽  
Juan Putra ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Asymptomatic Adult ◽  
Adult Volunteers

scholarly journals Clinical Characterization of Vonoprazan-Refractory Gastroesophageal Reflux Disease

Digestion ◽  
2019 ◽  
pp. 1-8
Author(s):  
Shohei Hamada ◽  
Eikichi Ihara ◽  
Hiroko Ikeda ◽  
Kazumasa Muta ◽  
Haruei Ogino ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease

Drawbacks of the Current Algorithm for Patients With Symptoms of Gastroesophageal Reflux Disease and the Impact of Adding Wireless pH Study to the Initial Diagnostic Endoscopy: Data From High-Volume Rural Antireflux Center

2020 ◽  
Vol 86 (5) ◽  
pp. 422-428 ◽  
Author(s):  
Medhat Y. Fanous ◽  
Tyler Hughes
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Retrospective Chart Review ◽  
High Volume ◽  
Rural Setting ◽  
Time Interval ◽  
Ph Probe ◽  
Patient Dissatisfaction ◽  
The Impact

Background Patients with symptoms of gastroesophageal reflux disease (GERD) are often given a trial of proton pump inhibitors (PPIs). When they respond, patients usually continue PPI therapy. If this empiric treatment fails, esophagogastroduodenoscopy (EGD) is recommended. When EGD findings are equivocal, pH study is warranted. We hypothesize that this algorithm results in prolonged PPI therapy, repetition of EGDs and patient dissatisfaction. This study evaluates the impact of placing a pH probe at the time of the initial EGD. Methods IRB approval was obtained for retrospective chart review of patients who presented with GERD symptoms between August 2015 and March 2019. Patients were included if they underwent EGD with placement of wireless pH probe. Results A total of 379 patients (260 females, 119 males) with average age was 56.7±14.2 years. There were 253/379 (66.7%) patients who had previous EGDs (1-10). Health Satisfaction Survey was completed by 357/379 (94.2%) patients and 250/357 (70%) reported dissatisfaction with GERD control. PPI use was noted in 299/379 (78.8%) patients with average duration of 10.9±9.1 years. Testing off antisecretory medication was performed in 360/379 (94.9%). The average time interval between the clinic visit and performing EGD and pH study was 22±25 days. Conclusion The current GERD algorithm results in prolonged PPI therapy, repeated endoscopies and patient dissatisfaction. Placing a pH probe at the time of initial endoscopy is safe and expedient in a rural setting. Positive pH studies avoid repeating EGDs and negative pH studies warrant a search for potential alternative diagnosis.

Characterization of Dysphagia after Magnetic Sphincter Augmentation Device Placement for Gastroesophageal Reflux Disease

2018 ◽  
Vol 227 (4) ◽  
pp. S16
Author(s):  
Evan T. Alicuben ◽  
James M. Tatum ◽  
Jamil S. Samaan ◽  
Nikolai A. Bildzukewicz ◽  
Kamran Samakar ◽  
...  
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Magnetic Sphincter Augmentation ◽  
Device Placement
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