GERD / Peptic Ulcers
The latest information on GERD and peptic ulcers — summaries and comments on acid reflux, esophagitis, H. pylori, proton-pump inhibitors, and more — drawn from across our specialties. Sign up now for monthly e-mail alerts on new content.
SUMMARY AND COMMENT
Treating GERD Successfully: Beyond Heartburn ReliefFree
- May 17, 2013
- David A. Johnson, MD
- Gastroenterology
A short questionnaire helps identify whether patients on therapy for GERD are experiencing sleep disturbance and might benefit from an adjustment in therapy.
- Reviewing:
- Moayyedi P et al. Aliment Pharmacol Ther 2013 Apr; 37:730
SUMMARY AND COMMENT
Fundoplication vs. Optimal Medical Management for Chronic GERD
- May 9, 2013
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
In the long run, patients with gastroesophageal reflux disease experienced greater improvements with surgery.
- Reviewing:
- Grant AM et al. BMJ 2013 Apr 18; 346:f1908
SUMMARY AND COMMENT
Labeling Symptoms as GERD Increases Parents' Desire for Medication
- April 24, 2013
- F. Bruder Stapleton, MD
- Pediatrics and Adolescent Medicine
Labeling regurgitation and irritability as gastroesophageal reflux disease promotes overmedication.
- Reviewing:
- Scherer LD et al. Pediatrics 2013 Apr 1
SUMMARY AND COMMENT
Bleeding Ulcers in Helicobacter pylori–Infected Aspirin Users
- March 28, 2013
- Allan S. Brett, MD
- General Medicine
After H. pylori eradication, recurrent ulcer bleeding is uncommon, despite ongoing aspirin use.
- Reviewing:
- Chan FKL et al. Gastroenterology 2013 Mar; 144:528
CLINICAL PRACTICE GUIDELINE WATCH
New Guidelines on GERDFree
- March 15, 2013
- David A. Johnson, MD
- Gastroenterology
The latest update on best practices from the American College of Gastroenterology
- Reviewing:
- Katz PO et al. Am J Gastroenterol 2013 Mar; 108:308
SUMMARY AND COMMENT
Does H. pylori Affect Ulcer Bleeding in Aspirin Users?
Incidence of peptic ulcer rebleeding is low after Helicobacter pylori eradication, but high in patients with no history of infection.
- Reviewing:
- Chan FKL et al. Gastroenterology 2013 Mar; 144:528
SUMMARY AND COMMENT
A Magnetic Sphincter Device Shows Promise for GERD
- February 20, 2013
- David A. Johnson, MD
- Gastroenterology
Esophageal acid exposure was significantly reduced in 64% of patients who had the device surgically implanted. CME
- Reviewing:
- Ganz RA et al. N Engl J Med 2013 Feb 21; 368:719
Which Transfusion Strategy Is Best for Acute Upper Gastrointestinal Bleeding?
- February 15, 2013
- Aaron J. Calderon, MD, FACP
- Hospital Medicine
A restrictive transfusion approach led to superior clinical outcomes, including a better survival rate.
- Reviewing:
- Villanueva C et al. N Engl J Med 2013 Jan 3; 368:11
SUMMARY AND COMMENT
Citalopram Reduces GERD Symptoms in Hypersensitive Esophagus
- January 18, 2013
- David A. Johnson, MD
- Gastroenterology
This selective serotonin reuptake inhibitor showed promise in a small clinical trial of patients who did not respond to acid suppressants. CME
- Reviewing:
- Viazis N et al. Am J Gastroenterol 2012 Nov; 107:1662
SUMMARY AND COMMENT
Discontinue Aspirin After Hospitalization For Bleeding Peptic Ulcer?
- January 18, 2013
- David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
- Gastroenterology
Not in patients with cardiovascular comorbidities, who are at elevated short-term risk for death and acute cardiovascular events. CME
- Reviewing:
- Derogar M et al. Clin Gastroenterol Hepatol 2013 Jan; 11:38
