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Related Concept Videos

Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
Gastroesophageal Reflux Disease01:25

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is the backward flow of stomach contents (acid, pepsin, or bile) into the esophagus, causing mucosal inflammation known as esophagitis. It results from failure of antireflux mechanisms, mainly the lower esophageal sphincter (LES), influenced by mechanical and physiological factors.Etiology and Risk FactorsGERD develops when LES function is weakened or when intra-abdominal pressure increases. Risk factors include aging, obesity, and sliding hiatal hernia,...
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy01:16

Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy

Helicobacter pylori, a resilient gram-negative bacterium, can thrive in the stomach's harsh, acidic environment. Infection with H. pylori leads to a cascade of events within the stomach lining. One of the critical disruptions caused by this bacterium is the interference with somatostatin production, a hormone responsible for regulating acid secretion. This interference tips the balance, escalating acid secretion and diminishing bicarbonate levels. This imbalance compromises the defensive...

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Surgical Models of Gastroesophageal Reflux with Mice
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Surgical Models of Gastroesophageal Reflux with Mice

Published on: August 25, 2015

Treatment options in pediatric GERD.

Neelesh A Tipnis1, Colin D Rudolph

  • 1Neelesh A. Tipnis, MD Department of Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA. ntipnis@mcw.edu

Current Treatment Options in Gastroenterology
|September 28, 2007
PubMed
Summary

Gastroesophageal reflux disease (GERD) in children requires careful evaluation and treatment. Acid-suppression therapy is common for GERD, but its goals and risks must be weighed before use.

Area of Science:

  • Pediatric Gastroenterology
  • Infant Health
  • Digestive Disorders

Background:

  • Gastroesophageal reflux (GER) is a normal physiological process in infants and children.
  • When GER causes symptoms or complications, it is termed gastroesophageal reflux disease (GERD).
  • GERD necessitates specific diagnostic approaches and therapeutic interventions.

Purpose of the Study:

  • To outline the evaluation and management of GERD in pediatric populations.
  • To emphasize the importance of judicious pharmacologic treatment for GERD.
  • To discuss the considerations surrounding acid-suppression therapy and surgical options.

Main Methods:

  • Review of current clinical practices and literature regarding GERD in children.
  • Analysis of the role of acid-suppression therapy in managing GERD symptoms.

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  • Evaluation of the indications and limitations of surgical interventions for GERD.
  • Main Results:

    • Acid-suppression therapy is the primary pharmacological approach for GERD.
    • Careful consideration of treatment objectives and potential adverse effects of acid suppression is crucial.
    • Surgical treatment for GERD in children has a limited scope.

    Conclusions:

    • Effective management of pediatric GERD involves targeted evaluation and appropriate treatment strategies.
    • Pharmacological treatment, particularly acid suppression, should be used judiciously, balancing benefits against risks.
    • The role of surgery in GERD management is currently restricted.