Oconee Gerd Presentation Key

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mdbowman

Salud y medicina Entretenimiento y humor

Treatment of GERD

Wilcotte C Rahming, M.D.

Oconee Medical Center

SYMPTOMS

• Heartburn
• Bleeding
• Pain while swallowing
• Difﬁculty swallowing
• Weight loss

COMPLICATIONS

• Barrett’s
• Erosion
• Obstruction from scarring
• Cancer

DIAGNOSIS

• Medication trial
• Endoscopy

Barrett’s Esophagus
• Affects the lining of the esophagus
• 3.3 million adults > 50
• Pre-cancerous
• 30-125 X >
• Incidence increase 6 fold

Barrett’s Esophagus

• 13% Caucasian men > 50
• 25% > 50 w/o Sx’s
• 44% adults have Sx’s monthly
• 18% weekly

SURVEILLANCE

• No dysplasia every 3 years
• LGD 6 - 12 months
• HGD every 3 months

TREATMENT

• Lifestyle change
• Medication
• Endoscopic
• Surgery

GOALS

• Eliminate all IM
• Prevent progression NDBE/LGD to HGD
• HGD to cancer
• Complete eradication of BE
• Not to eliminate need for surveillance

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