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Neurogastroenterology and Motility Journal: Published: September 2022GERD is a condition that develops when the reflux of stomach contents causes troublesome symptoms and/or complications. These symptoms include typical ones, such as heartburn, regurgitation, or both, angina-mimicking non-cardiac chest pain, and extra-esophageal symptoms,...
BMJ Open: Published, October, 2023This study aimed to investigate the potential association between PPI use and kidney stones by analysing National Health and Nutrition Examination Survey (NHANES) data from 2007 to 2018. TAKE-HOME MESSAGEThe authors of this large US-based cross-sectional study found that proton-pump inhibitor (PPI) use was asso...
Neurology: August, 2023Cumulative use of proton pump inhibitors (PPIs) for more than 4.4 years is associated with an increased risk for dementia, according to a study published in Neurology.TAKE-HOME MESSAGEThis study evaluated whether the current and cumulative use of proton pump inhibitors (PPIs) are associated with a higher risk of incident...
JAMA Network: November, 2019Proton pump inhibitors (PPIs) are drugs widely prescribed to reduce gastric acidity. Although they are considered globally safe, observational studies have reported significant adverse effects associated with their long-term use, such as osteoporotic-related fractures, vitamin B12 deficiency, kidney disease, or...
Eosinophilic esophagitis (EoE) is an immune/antigen-mediated, progressive fibrostenotic disease characterized by symptoms of esophageal dysfunction and abnormal eosinophilic infiltration in the esophagus. Despite treatment modalities of dietary antigen elimination or Topical corticosteroids, a subset of patients do not have clinical or histolo...
Gastroesophageal reflux disease (GERD) continues to be among the most common diseases seen by gastroenterologists, surgeons, and primary care physicians. The American College of Gastroenterology (ACG) recently released an updated guideline on diagnosis and management of GERD which was published by the American Journal of Gastroenterology. In t...
Acute upper gastrointestinal bleeding (AUGIB) is a common medical emergency. In Western countries, its incidence was estimated to be over 100 cases per 100 000 adults per year. Fortunately, the mortality rates of AUGIB have decreased over the past few decades, largely attributable to improvements in endoscopic and pharmacological therapies...
Alimentary Pharmacology & Therapeutics: Functional dyspepsia is characterised by troublesome early satiety, fullness, or epigastric pain or burning. It can easily be overlooked as the symptoms overlap with gastro-oesophageal reflux disease and irritable bowel syndrome. It affects 10% of the population and is more prevalent in women....
Proton Pump Inhibitors (PPIs) are widely considered the mainstay of medical treatment for GERD. Multiple publications have raised questions about adverse events, raising doubts about the safety of long-term use and increasing concern about overprescribing of PPIs. This guideline provides updated, evidence-based recommendations and practical...
Indian Journal of Gastroenterology: Published: 30 June 2022 TAKE HOME MESSAGE: Nocturnal acid breakthrough (NAB) may differ based on duration of proton pump inhibitor (PPI) action and Helicobacter pylori (H. pylori) infection; NAB may influence esophageal acidification (EA) and mucosal damage. Dexlansoprazole, a long-acting PPI,...
A Systematic Review and Meta-analysisGastroesophageal reflux disease (GERD) is a chronic digestive disorder resulting from the reflux of gastric contents into the esophagus that is often accompanied by troublesome symptoms of heartburn, acid regurgitation, or other extra-esophageal symptoms such as chest pain, chronic cough, hoarseness or glob...
Clinical Gastroenterology and Hepatology TAKE-HOME MESSAGE This review presents best practice advice statements to help healthcare providers in the treatment of patients with gastroesophageal reflux disease (GERD). To optimize care and response, diagnostic testing should be personalized and management should be tailored to the ind...