Gastroesophageal reflux disease
Article Abstract:
Chronic gastroesophageal reflux disease (GERD) should be evaluated and treated if necessary. GERD, which is commonly called heartburn, occurs when gastric acid from the stomach backs up into the esophagus. It is often mild and transitory, but can result in damage to the esophagus if chronic. Endoscopy should be performed on anyone who has chronic GERD lasting more than 5 years, difficulty swallowing, bleeding or does not respond to medications. Anti-ulcer drugs are the most effective drugs. There are few clinical trials comparing surgical treatment to drug treatment.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1996
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Treating Achalasia
Article Abstract:
Surgery and mechanical dilation are the best treatments for esophageal achalasia. This disorder is caused by a failure of the lower portion of the esophagus to relax as food passes through it. Researchers evaluated reports in the literature that compared various treatments, including drugs, surgery and dilation. Dilation is effective but has a risk of perforating the esophagus. Surgery is more effective than dilation and laparoscopic techniques have reduced the rate of surgical complications.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
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Surgical Therapy for Reflux Disease
Article Abstract:
Most people with gastroesophageal reflux disease (GERD) can be treated with drugs and do not need surgery. A study published in 2001 showed that patients treated surgically will still need to take drugs and have the same risk of esophageal cancer as those treated with drugs only. The exception would be patients who do not respond to drug treatment.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2001
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