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Hard Core CME GERD Robert A.Solomon M.D. Associate Director Montgomery Family Practice Residency Program Norristown, PA
GERD Objectives ,[object Object],[object Object],[object Object]
GERD ,[object Object],[object Object]
GERD
GERD Only 2-3 % of acid reflux events reach the level of  perception by the patient
GERD statistics ,[object Object],[object Object],[object Object]
GERD etiology
GERD Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Atypical GERD Presentations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GERD Alarm Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GERD-Etiology of Complications
GERD Complications Esophagitis
GERD-Etiology of Complications
GERD-Barrett’s Esophagus Normal endoscopy Barrett’s esophagus
Barrett’s Esophagus ,[object Object],[object Object],[object Object],[object Object]
Esophageal Stricture
Esophageal Stricture Balloon dilator Stricture  Balloon  Post dilation
Complications of GERD ,[object Object],[object Object],[object Object]
Treatment of GERD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GERD-Lifestyle Modifications ,[object Object],[object Object],[object Object],[object Object],[object Object]
GERD-Antacids ,[object Object],[object Object]
 
GERD H2 Blockers ,[object Object],[object Object],[object Object]
 
GERD- PPIs ,[object Object],[object Object],[object Object]
GERD- PPIs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Suggested algorithm for treatment of GERD
GERD-Beyond Meds ,[object Object],[object Object]
Refractory GERD ,[object Object],[object Object],[object Object]
GERD-Antireflux Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
GERD-Endoscopic Therapy ,[object Object],[object Object],[object Object],[object Object]
 
Endocinch
 
Enteryx-Polymer injection
GERD-Summary ,[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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