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Related Concept Videos

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,...
Gastrointestinal Motility Disorders01:20

Gastrointestinal Motility Disorders

Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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...
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:

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Related Experiment Video

Updated: May 27, 2026

Establishment and Evaluation of a Risk Prediction Model for Pathological Escalation of Gastric Low-Grade Intraepithelial Neoplasia
03:05

Establishment and Evaluation of a Risk Prediction Model for Pathological Escalation of Gastric Low-Grade Intraepithelial Neoplasia

Published on: February 16, 2024

The gastroenterologist and industry: changing winds.

Mark H Delegge1

  • 1Digestive Disease Center, Medical University of South Carolina, DeLegge Medical, Charleston, SC 29425, USA. deleggem@musc.edu

Gastrointestinal Endoscopy Clinics of North America
|November 22, 2011
PubMed
Summary

The medical device and pharmaceutical industries must now prove cost-effectiveness and clinical-effectiveness for regulatory approval and reimbursement. This article explores these challenges and potential solutions for the healthcare sector.

Related Experiment Videos

Last Updated: May 27, 2026

Establishment and Evaluation of a Risk Prediction Model for Pathological Escalation of Gastric Low-Grade Intraepithelial Neoplasia
03:05

Establishment and Evaluation of a Risk Prediction Model for Pathological Escalation of Gastric Low-Grade Intraepithelial Neoplasia

Published on: February 16, 2024

Area of Science:

  • Health Economics
  • Pharmaceutical Policy
  • Medical Device Regulation

Background:

  • Increasing demand for evidence-based healthcare interventions.
  • Mounting pressure on medical device and pharmaceutical companies for data.
  • Regulatory bodies like the Federal Drug Administration (FDA) require robust data.

Purpose of the Study:

  • To outline the challenges faced by the medical device and pharmaceutical industry.
  • To discuss the implications of these challenges on clinical practice.
  • To propose potential solutions for improving the current situation.

Main Methods:

  • Literature review of current regulatory and reimbursement landscapes.
  • Analysis of industry trends and economic pressures.
  • Discussion of strategic approaches for data generation and submission.

Main Results:

  • Companies face significant hurdles in generating cost-effectiveness and clinical-effectiveness data.
  • Failure to meet these data requirements can impede product approval and market access.
  • The burden impacts innovation and the adoption of new medical technologies.

Conclusions:

  • The industry must adapt to evolving evidence requirements.
  • Proactive strategies for data generation are crucial for success.
  • Collaboration between industry, regulators, and payers can streamline the process.