Quick Hits

In November of 2002, 11 esophageal physiologists gathered in Porto to consolidate knowledge surrounding a new technology: intraluminal impedance monitoring. After decades of dependence on pH testing to define reflux, experts were wrestling with a growing body of evidence showing that not all reflux episodes, or symptoms, were associated with low pH.1,2 The resulting consensus […]

Quick Hits

Endoscopic eradication therapy (EET) with a combined approach of resection and ablation is safe and effective. The evolution of endoscopic mucosal resection (EMR) for visible lesions followed by radiofrequency ablation (RFA) has become the gold standard for Barrett’s associated neoplasia. Despite the effectiveness of EET, recurrence of intestinal metaplasia (IM) after achieving complete eradication (CE-IM) […]

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) […]

Debates

Gastroesophageal reflux disease (GERD) testing has evolved ever since the initial introduction of the catheter-based pH test more than half a century ago. More accurate pH measurements and improved patient tolerability were achieved by reducing the catheter’s diameter and stiffness, and the catheter-based pH test has continued to improve over the years.1 Introduction of the […]

Debates

Prolonged pH or reflux monitoring is neither essential to the primary evaluation or treatment of patients with suspected gastroesophageal reflux disease (GERD) who respond to therapy nor needed for patients who have endoscopydocumented erosive esophagitis that responds to antisecretory therapy. The history, endoscopic findings and clinical response to therapy provide adequate support for the diagnosis of GERD in […]

Quick Hits

Cough is among the most common symptoms for which medical attention is sought. It represents 10 to 38 percent of outpatient practice visits1,2 totaling over 26 million medical visits in the U.S. annually, and has a point prevalence of 9 to 33 percent in U.S. and European populations3. Most cough results from viral upper respiratory infection […]