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Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Gastroesophageal Reflux ... Symptoms Long-Term PPI ... Issues Diagnosis Algorithm ... Gastroesophageal #Reflux ... #Treatment #Algorithm
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... Algorithm - Step ... #Reflux #GERD # ... Management #Algorithm ... #ppi
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... sensation) and acid ... Testing Ambulatory reflux ... Gastroesophageal #Reflux ... Disease #diagnosis #management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
topical injury (by acid ... reflux and pepsin ... promote esophageal reflux ... 48 hours - IV PPI ... Necrosis #diagnosis #management
Approach Cardiac Conduction Device Infections (from NEJM link below)
Baddour LM et al. N Engl J Med
#Management #Cardiology ... #AICD #PPM #DeviceInfections ... #Pocket #Algorithm