Moving Down the Esophagus

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Moving Down the Esophagus

• Prateek Sharma, MD
• Moderator

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Moderators Take-Home PointsPrateek Sharma, MD

• Ensure that symptoms are truly reflux related
  and that PPI therapy is being taken before meals
• Ambulatory 24-hr pH impedance monitoring may be
  performed in GERD patients not responding to PPI
  therapy
• Consider increasing PPI dose anti-reflux surgery
  in the appropriate setting

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Moderators Take-Home PointsPrateek Sharma, MD

• Patients with HGD are at a high risk of cancer
  development 25-30 over 5 yrs
• EMR allows for accurate diagnosis and treatment
  of BE related neoplasia
• UGI complications occur in 1 of NSAID and 0.5
  of ASA users these can be significantly reduced
  by co-therapy
• H. pylori related ulcer disease, dyspepsia and
  carcinogenesis is influenced by a complex
  interaction between host and bacterial factors