Debates

This is half of a two-part debate — read the opposing argument. For most individuals with gastroesophageal reflux, treatment with antisecretory medication yields excellent symptom relief. However, medical management fails in a subset of patients with more severe symptoms, and antireflux surgery should be considered. Traditionally the procedure of choice has been a 360° (Nissen) […]

Quick Hits

Barrett’s esophagus, a precursor to esophageal adenocarcinoma, is the focus of current efforts to combat the rapidly rising incidence of this deadly cancer. Barrett’s esophagus is thought to progress from nondysplastic Barrett’s esophagus through low-grade dysplasia and high-grade dysplasia before becoming adenocarcinoma. The risk of esophageal adenocarcinoma is assessed by sampling the affected mucosa through […]

Quick Hits

High-resolution manometry (HRM) was conceived by Ray Clouse to overcome gaps in esophageal pressure data acquisition, display and interpretation. HRM utilizes closely spaced circumferential sensors on an esophageal manometry catheter to collect pressure recordings. Software programs interpolate best fit data between acquired raw pressure data and assign colors to amplitudes to generate seamless topographic plots […]