This content is machine translated Treating reflux symptoms Doing one thing but not the other Proton pump inhibitors (PPI) are still the first choice for acute treatment, but long-term use should be avoided. H2 antihistamines also suppress gastric acid secretion. Antacids and alginates can also…
View Post 7 min This content is machine translated Guideline Update 2023: GERD and EoE If reflux symptoms are present, also consider eosinophilic esophagitis According to current knowledge, gastroesophageal reflux disease and eosinophilic esophagitis are distinct entities that require different therapeutic approaches. This is particularly emphasized in the updated S2k guideline “Gastroesophageal reflux disease…
View Post 3 min This content is machine translated Reflux Endoscopy – necessary or superfluous? Heartburn and acid regurgitation are symptoms that are a common cause for presentation to the primary care physician’s office. If there are no other complaints, however, an endoscopy can usually…
View Post 4 min This content is machine translated Gastroesophageal reflux disease (GERD) “Treat acid pocket” and follow up high-risk patients endoscopically Gastroesophageal reflux disease ( GERD) is the most common benign disease of the upper gastrointestinal tract in the Western world. For symptomatic treatment, it is recommended to use alginates in…
View Post 4 min This content is machine translated DGIM Symposium: "The many faces of reflux therapy". Alginate for reflux: add-on, PPI alternative and step-off aid Gastroesophageal reflux disease (GERD) affects approximately 10-20% of all people in Western industrialized countries [1]. The use of alginate as an alternative or add-on to proton pump inhibitors (PPIs) for…
View Post 4 min This content is machine translated Reflux Cases Heartburn during pregnancy – good advice is expensive A 32-year-old female patient with known GERD presents to her primary care physician’s office at 27 weeks’ gestation with increasing heartburn and regurgitation while lying down. She used to have…
View Post 5 min This content is machine translated Gastroesophageal reflux disease (GERD) Alginate as an as-needed add-on therapy increases patient satisfaction The standard therapy for treating all manifestations of reflux disease is proton pump inhibitors (PPI). Despite a high success rate, there are occasional patients with an insufficient response to therapy.…
View Post 4 min This content is machine translated Gastroesophageal reflux disease (GERD) 24h-impendance pH-metry enables targeted therapy of reflux symptoms In patients over 50 years of age with reflux symptoms or if alarm signs are present, an endoscopic examination should be performed directly. In most other cases, a PPI therapy…
View Post 3 min This content is machine translated Reflux Cases When it jams A 48-year-old patient presents with chest pain and volume regurgitation that do not improve despite treatment with standard-dose PPI preparations.
View Post 4 min This content is machine translated Reflux Cases What to do if there is a fire when setting down? A 43-year-old patient discontinues the PPI as discussed with the physician after 14 days of therapy. The complaints return so violently that he continues the therapy on his own authority.…
View Post 1 min This content is machine translated Reflux Cases Case Puzzle Unclear dysphagia and upper abdominal discomfort – what to do? An 80-year-old patient with dysphagia and upper abdominal discomfort is evaluated radiologically. Diagnosis: paraesophageal gastric hernia. What therapy should the patient receive?
