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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.
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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,...
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Technical Considerations and Approach to Redo Foregut Surgery
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[Reflux after baratric operations].

Radu Tutuian1

  • 1Departement Gastroenterologie, Unversitätsklinik für Viszerale Chirurgie und Medizin, Universitätsspital Bern, Switzerland. radu.tutuian@insel.ch

Therapeutische Umschau. Revue Therapeutique
|February 7, 2013
PubMed
Summary
This summary is machine-generated.

Obesity is a major risk factor for gastro-esophageal reflux disease (GERD). Roux-en-Y gastric bypass is the preferred bariatric procedure for managing GERD in obese patients, improving symptoms and reducing medication needs.

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Roux-en-Y Gastric Bypass Operation in Rats
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Roux-en-Y Gastric Bypass Operation in Rats
07:37

Roux-en-Y Gastric Bypass Operation in Rats

Published on: June 11, 2012

Area of Science:

  • Gastroenterology
  • Bariatric Surgery
  • Obesity Medicine

Context:

  • Obesity and GERD are prevalent global health issues.
  • Obesity is a significant risk factor for GERD development.
  • Weight reduction improves GERD symptoms and decreases medication use.

Purpose:

  • To compare the effectiveness of different bariatric interventions on GERD.
  • To evaluate the impact of bariatric surgery on GERD symptoms, lesions, and medication use.
  • To identify the optimal bariatric procedure for managing GERD in obese individuals.

Summary:

  • Gastric banding has variable effects on GERD, with some patients developing new symptoms.
  • Gastric sleeve resection can exacerbate GERD, particularly in specific patient subgroups.
  • Roux-en-Y gastric bypass demonstrates a positive impact on GERD, reducing symptoms and acid-suppressive medication needs.

Impact:

  • Roux-en-Y gastric bypass is recommended as the preferred bariatric procedure for treating and preventing GERD in morbidly obese patients.
  • Understanding the differential effects of bariatric procedures on GERD can guide clinical decision-making.
  • This research highlights the esophageal benefits of specific bariatric surgeries for GERD management.