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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...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
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...
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...

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Technical Considerations and Approach to Redo Foregut Surgery
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Published on: September 22, 2023

Recent advances in endoscopic antireflux techniques.

Melina C Vassiliou1, Daniel von Renteln, Richard I Rothstein

  • 1Department of Surgery, McGill University Health Centre, Montreal General Hospital, Quebec, Canada.

Gastrointestinal Endoscopy Clinics of North America
|December 3, 2009
PubMed
Summary

Proton pump inhibitors manage heartburn from gastroesophageal reflux disease, but endoscopic antireflux techniques (E-ARTs) offer an alternative. This review examines the most common E-ARTs, their efficacy, and availability.

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Area of Science:

  • Gastroenterology
  • Endoscopic Therapeutics

Background:

  • Heartburn, a common symptom of gastroesophageal reflux disease (GERD), often necessitates long-term proton pump inhibitor (PPI) therapy.
  • Antireflux surgery presents an alternative but carries risks of significant side effects and variable therapeutic duration.

Purpose of the Study:

  • To review available data on the most common endoscopic antireflux techniques (E-ARTs).
  • To evaluate E-ARTs designed to improve lower esophageal sphincter function or alter the angle of His to restore the reflux barrier.

Main Methods:

  • Review of existing literature and data on various endoscopic antireflux techniques.
  • Analysis of techniques aimed at enhancing the antireflux barrier through endoscopic intervention.

Main Results:

  • Several E-ARTs have been developed, with varying availability and regulatory status.
  • The review focuses on commonly available or studied E-ARTs for GERD management.

Conclusions:

  • E-ARTs represent an evolving field in GERD treatment, offering less invasive options than surgery.
  • Understanding the efficacy and limitations of current E-ARTs is crucial for clinical decision-making.