Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

111
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...
111
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

110
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...
110
Angina IV: Management01:26

Angina IV: Management

11
IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
11
Angina V: Nursing Management01:20

Angina V: Nursing Management

18
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
18
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

335
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:
Surgical Interventions for Peptic Ulcer Disease
335
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

12
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
12

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Optimizing Approach to Nonobstructive Dysphagia: A Cost-Minimization Analysis.

Journal of clinical gastroenterology·2026
Same author

Acthar Gel treatment in patients with rheumatoid arthritis, systemic lupus erythematosus, or dermatomyositis/polymyositis: analysis of physician-reported charts.

Journal of comparative effectiveness research·2026
Same author

Design of an integrated evidence-driven few-shot meta-learning for zero-day malware detection and forensic attributions.

Scientific reports·2026
Same author

American Foregut Society Education Committee: Development Of The Advanced Foregut Fellowship Program for Gastroenterology Trainees.

Foregut (Thousand Oaks, Calif.)·2026
Same author

Gatherings in Esophagology: Innovations and Future Directions in the Diagnosis and Management of Reflux Disease.

Annals of the New York Academy of Sciences·2026
Same author

American Society for Gastrointestinal Endoscopy standards for fellowship training in peroral endoscopic myotomy.

Gastrointestinal endoscopy·2026

Related Experiment Video

Updated: Jul 16, 2025

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
06:40

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

Published on: June 29, 2019

6.7K

Optimizing the Management Algorithm for Heartburn in General Gastroenterology: Cost-Effectiveness and

Eric D Shah1, Walter W Chan2, Daniela Jodorkovsky3

  • 1Division of Gastroenterology, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|September 8, 2023
PubMed
Summary
This summary is machine-generated.

Optimizing heartburn management using endoscopy and reflux monitoring is cost-effective. Phenotype-guided treatment, including discontinuing proton pump inhibitors (PPIs) when appropriate, improves patient outcomes and reduces healthcare costs.

Keywords:
Diagnostic TestingEGDGERDGastroesophageal RefluxHiatal HerniaInsurance CoveragePatient PreferenceShared Decision MakingUpper EndoscopypH Acid Testing

More Related Videos

Construction of a Wireless-Enabled Endoscopically Implantable Sensor for pH Monitoring with Zero-Bias Schottky Diode-based Receiver
08:25

Construction of a Wireless-Enabled Endoscopically Implantable Sensor for pH Monitoring with Zero-Bias Schottky Diode-based Receiver

Published on: August 27, 2021

2.6K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

449

Related Experiment Videos

Last Updated: Jul 16, 2025

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
06:40

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

Published on: June 29, 2019

6.7K
Construction of a Wireless-Enabled Endoscopically Implantable Sensor for pH Monitoring with Zero-Bias Schottky Diode-based Receiver
08:25

Construction of a Wireless-Enabled Endoscopically Implantable Sensor for pH Monitoring with Zero-Bias Schottky Diode-based Receiver

Published on: August 27, 2021

2.6K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

449

Area of Science:

  • Gastroenterology
  • Health Economics
  • Clinical Decision Modeling

Background:

  • Heartburn is a prevalent symptom in gastroenterology practice.
  • Effective and economical management strategies for heartburn are needed.

Purpose of the Study:

  • To optimize cost-effective evaluation and management of heartburn.
  • To compare four strategies for patients with persistent heartburn despite empiric proton pump inhibitor (PPI) therapy.

Main Methods:

  • A decision analytic model was developed comparing four management strategies.
  • Strategies included PPI optimization, endoscopy with PPI optimization, PPI discontinuation based on findings, and endoscopy/reflux monitoring with phenotypic management.
  • Cost and health outcomes were evaluated from insurer and patient perspectives over a 1-year horizon, with testing performed off PPI.

Main Results:

  • PPI optimization without testing was the most expensive strategy.
  • Endoscopy-based strategies improved health outcomes and reduced costs compared to no testing.
  • Phenotype-guided management with endoscopy/ambulatory reflux monitoring and PPI discontinuation (when appropriate) yielded the greatest health gains (22 healthy days/year) and cost savings.

Conclusions:

  • Endoscopy with ambulatory reflux monitoring, guided by patient phenotype, offers cost-effective heartburn management.
  • For patients without erosive findings, trialing PPI discontinuation is more cost-effective than continuing PPI optimization.