Titlebook: Gastrointestinal Motility Disorders; A Point of Care Clin Eytan Bardan,Reza Shaker Book 2018 Springer International Publishing AG 2018 diff

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Functional Heartburnnitial empiric acid-suppressive therapy. In those with normal tests functional heartburn may be the diagnosis requiring patient education and alternative therapies. In this chapter, we discuss how to diagnose functional heartburn as well as the underlying pathophysiologic basis for this disease. Fin

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I Am Tired of Taking Pills for My Reflux, What Else Can I Do? Surgical and Endoscopic Treatment for herapy, this approach fails to completely control symptoms in many patients. In patients with persistent symptoms of GERD despite acid suppression, safe and effective surgical and endoscopic interventions are readily available and can lead to durable symptom control and minimal side effects when pro

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Supraesophageal Reflux Disease (SERD)eflux of acidic gastric contents into the larynx. Esophagoscopy is usually normal, but inspection of the larynx may reveal signs such as edema or erythema. Conventional pH monitoring is not sensitive enough to detect reflux to the upper esophagus, but the yield is improved with the combination of im

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Chronic Cough and Throat Clearingdominant associated complaint is excessive throat clearing. Cough and throat symptoms, including throat clearing, have been well documented and have serious impacts on quality of life and a patient’s sense of well-being, so much so that they are the first and second most common reasons that patients

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Aspiration Pneumonia/BronchitisProblems arise when there are structural and/or functional defects in this highly coordinated process. “.” refers to an inadvertent inhalation of oropharyngeal secretions/gastric contents below the level of the true vocal cords into the respiratory tract..Almost half of healthy adults aspirate routi

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Esophageal Manometryuid and/or solid test swallows. Conventional line-tracing-based and high-resolution manometry systems that utilize spatiotemporal plots are clinically available. The main reason to obtain an esophageal manometry is evaluation of difficulty swallowing (dysphagia) for which a definitive diagnosis has

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Anomalous Termination of Coronary Arteries,r the Chicago Classification. Other nonspecific motor abnormalities can be encountered in supragastric belching and rumination. This chapter elaborates these nonspecific disorders of esophageal and EGJ motor function, and describes potential relationships to symptoms.

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Randy Ray Richardson MD,Cam Chau MDx barrier and the inability to clear refluxed material from the stomach without peristalsis. Testing with endoscopy, barium radiography, and high-resolution manometry is best used to diagnose and stage scleroderma involvement in the esophagus. Treatment is aimed at pharmacologic and lifestyle changes to deter gastroesophageal reflux.