Conclusions

Major developments in the medical and surgical therapy of GERD, including PPI therapy and antireflux surgery, have been applied to patients with BE in the last decade. In spite of emerging techniques for the optical recognition of dysplasia and of the profusion of potentially predictive molecular markers of cancer risk, surveillance endoscopy and biopsy remain the cornerstone of efforts to improve survival from AC of the esophagus in patients with BE. Photodynamic therapy for HGD in BE is entering the clinical arena. Esophagectomy performed at a high volume institution remains a procedure with mortality and morbidity issues, but with excellent long term survival in early AC detected during surveillance. Chemoprevention offers a less invasive strategy for the future prevention of AC of the esophagus.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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