Gastrointestinal-hepatic-disorders

TAKE-HOME MESSAGE The authors of this meta-analysis evaluated the efficacy of alginate-containing compounds for the treatment of gastroesophageal reflux disease (GERD) symptoms. The odds of resolution of GERD symptoms was significantly greater with alginate-based therapies than with placebo or antacids. Alginate therap...
The management of gastroesophageal reflux disease (GERD) has been revolutionized with the development of proton pump inhibitors (PPIs). Unfortunately, due to the inherent pharmacokinetic and pharmacodynamic profiles of conventional PPIs, many patients continue to suffer from symptoms related to GERD despite appropriate use of PPIs. Curr...
TAKE-HOME MESSAGE The authors investigated physician adherence with recommending peptic ulcer disease (PUD) prophylaxis for elderly patients who were receiving dual antiplatelet therapy or anticoagulation or who were at risk of bleeding PUD, as per expert consensus guidelines from the American College of Gastroenterol...
Eosinophilic esophagitis (EoE) is a chronic immune-mediated inflammatory disease of the esophagus. Symptoms of EoE includes vomiting, dysphagia, or feeding difficulties. Genetic factors and environmental factors, such as exposure to antibiotics early in life, are associated with EoE.TAKE-HOME MESSAGE EoE affects approximately 34.4/100,000 peo...
Peptic ulcer disease is often defined as a mucosal break greater than 3-5 mm in the stomach or duodenum with a visible depth. It is therefore an endoscopic diagnosis in contrast to dyspepsia, which is a clinical diagnosis based on symptoms alone. Peptic ulcer disease results from an imbalance between factors that protect the mucosa of the stoma...
Antacids neutralize gastric acid and are, broadly used in the treatment of gastroesophageal reflux disease (GERD) in adults. They are utilized for more than 2,000 years, though evidence of the effectiveness and safety is limited in infants [1]. Antacids have an effect on the short-term relief of heartburn and the healing of esophagitis. Charac...
Gastrointestinal (GI) bleeding is the most common GI diagnosis necessitating. Upper GI bleeding (UGIB) refers to bleeding originating from sites in the esophagus, stomach, or duodenum.AbstractThe American Journal of Gastroenterology society performed systematic reviews addressing predefined clinical questions to develop recommendations with the...
The American Journal of GastroenterologyTAKE-HOME MESSAGE In a study evaluating sleep position and nocturnal gastroesophageal reflux, the sleep positions of 57 individuals referred for ambulatory pH impedance were measured and analyzed. The left lateral position was associated with significantly shorter acid exposure time than...
Dyspepsia is defined as having one or more symptoms of epigastric pain, burning, postprandial fullness, or early satiation. Bloating and nausea often coexist with dyspepsia but are nonspecific and are thus not included in its definition. Heartburn is also excluded from diagnostic symptom criteria for dyspepsia since it is thought to primarily...
Reflux disease is a chronic and progressive condition. Treatment options depend on the disease stage. The disease stage is determined by the severity of reflux into the esophagus. This in turns depends on how frequent and how long are the reflux episodes. GERD is also associated with a spectrum of symptoms that ranges from mild heartburn to sev...
Many women experience heartburn during pregnancy. It can be extremely uncomfortable and can negatively affect women’s experience of pregnancy and their quality of life.Dietary changes may help to reduce or stop heartburn. The NICE guideline on gastrooesophageal reflux disease and dyspepsia in adults includes recommendations about dietary and l...
A Peptic ulcer is a small sore or lesion in the lining of stomach or duodenum, the first part of the intestine. This sore is often aggravated by stomach acid, but is usually not caused by the acid itself. More likely, the cause is either a bacterium known as Helicobacter pylori (H. pylori) or taking non-steroidal anti-inflammatory drugs (NSAID...