atrial fibrillation may be associated with new-onset GERD in adults
CASE-CONTROL STUDY: Medicine (Baltimore) 2015 Oct;94(43):e1921

prevalence of H. pylori infection lower in patients with GERD than in patients without GERD
SYSTEMATIC REVIEW: BMJ 2003 Apr 5;326(7392):737

upper endoscopy is not required for typical GERD symptoms (ACG Strong recommendation, Moderate-quality evidence), but is recommended in some cases
upper endoscopy may be recommended if
troublesome dysphagia (ACG Strong recommendation, Moderate-quality evidence)
no response to twice-daily PPI (ACG Conditional recommendation, Low-quality evidence)
any alarm symptoms or for screening in patients at high risk for complications (ACG Strong recommendation, Moderate-quality evidence)
patient is refractory to optimized PPI therapy with typical symptoms (ACG Strong recommendation, Moderate-quality evidence)
do not repeat endoscopy in patients without Barrett esophagus in absence of new symptoms (ACG Strong recommendation, Moderate-quality evidence)

surgery such as (laparoscopic fundoplication) is a long-term therapy option for GERD (ACG Strong recommendation, High-quality evidence); however, surgery is generally not recommended in patients with no response to PPI therapy (ACG Strong recommendation, High-quality eviden)

انتبه يعني الميستجيبون لل PPI ال surgery مراح تفيدهم بشيء

treatments not recommended for GERD
medications other than acid suppression, such as prokinetic therapy and baclofen, should not be used for GERD without diagnostic evaluation (ACG Conditional recommendation, Moderate-quality evidence)
there is no role for sucralfate in non-pregnant GERD patients (ACG Conditional recommendation, Moderate-quality evidence)
Helicobacter pylori eradication does not improve or worsen heartburn or GERD (ACG Strong recommendation, Low-quality evidence)

ال H pylori عمرها مالها علاقه بل GERD

patients with known osteoporosis can remain on PPI therapy, and concerns for hip fracture and osteoporosis should not affect decision to use long-term PPIs except in patients with other risk factors for hip fracture (

PPI therapy does not need to be altered in patients taking concomitant clopidogrel (ACG Strong recommendation, High-quality evidence)

slowly progressive, long-standing dysphagia with history of GERD suggests peptic stricture
short history of dysphagia with rapid progression (weeks or months) and associated weight loss suggestive of esophageal cancer

الحمدالله اول فيديو نزل بموضوع ال GERD الشرح راح يكون على فديوهات قصيره علمود النت نقطع المحاضره اتمنى منكم تشيرون الفيديو لأكبر عدد ممكن ، الشرح بهذي المحاضره بأبسط لغه ومفهومه للجميع وبلتوفيق يارب❤️

خلوا المحاضره على سرعه 1.5 يصير احلى بعد ومتوازن اني راعيت هلنقطه ما حجيت بسرعه حجيت بشكل متوسط حتى من تجي تسرع 1.5 الحجي يصير متوازن ومضبوط

is it important to ask a patient about travel history when he presented by dysphgia ؟and why ?
الجواب حينزل بلمحاضره القادمه
اذا تحبون تشاركون اجوبتكم

https://youtu.be/KWYKcW_XhWw

مرحلة اللاعودة 😁

So any one here familiar with cardiac lusoria?

https://youtu.be/7V3t6Vq2aU0
عنوان الفيديو راد يكحلها عماها😂

https://youtu.be/s_bmJXKfCo8

مرحلة اليروح ما يرجع 💔
اسخف cancer