Control of GERD

Antireflux surgery is effective at controlling GERD. Symptoms are relieved in the vast majority of patients with BE, and this relief has been shown to be durable. There is also objective evidence of superior control of reflux in these patients when pH monitoring is performed, and fewer redevelop esophagitis and stricture after surgery when compared with medical therapy (Atwood et al, 1992). In our own series of 106 BE patients undergoing laparoscopic antireflux surgery between 1994 and 2000 with a mean follow-up of 40 months, 79% had resolution and 93% had improvement in their heartburn. Ninety-four percent had improvement in their regurgitation, and 83% had improvement in their dysphagia. As a group there was a significant increase in the LES pressure (9.0 to 19.2 mm Hg) and a drop in the amount of reflux to normal levels (distal acid exposure from 27.9 to 4.0% and a DeMeester score from 100.6 to 17.1) after surgery. Certainly antireflux procedures in patients with BE can be more difficult (secondary to higher incidence of large hiatal hernias, esophageal inflammation, and shortened esophagus) and require meticulous technique, but good results are attainable.

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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