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In its most basic use, the endoscope is used to inspect the internal anatomy of the digestive tract. Often inspection alone is sufficient, but biopsy is a valuable adjunct to endoscopy. Small biopsies can be made with a pincer (biopsy forceps) which is passed through the scope and allows sampling of 1 to 3 mm pieces of tissue under direct ...
In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
In some cases, a person with GERD symptoms can manage them by taking over-the-counter drugs. [50] [51] [52] This is often safer and less expensive than taking prescription drugs. [50] Some guidelines recommend trying to treat symptoms with an H 2 antagonist before using a proton-pump inhibitor because of cost and safety concerns. [50]
A more recent study published in 2020 [9] evaluated 25 patients post Stretta Procedure and the results concluded significant improvement in reflux symptoms and quality of life, lowering Heartburn Score (DeMeester score) [10] from 3.7 in women and 4.0 in men to 1.6±1 (p = 0.05) in women and 1.68±1.19 (p = 0.05) in men.
Esophagitis can be diagnosed by upper endoscopy, biopsy, upper GI series (or barium swallow), and laboratory tests. [4] An upper endoscopy is a procedure to look at the esophagus by using an endoscope. While looking at the esophagus, the doctor is able to take a small biopsy. The biopsy can be used to confirm inflammation of the esophagus.
When asked if there is anything in a standard primary care exam or blood work that could help detect possible colorectal cancer before a colonoscopy is ordered, Mongiu mentions testing for anemia ...
Indigestion is relatively common, affecting 20% of people at some point during their life, and is frequently caused by gastroesophageal reflux disease (GERD) or gastritis. [ 1 ] [ 5 ] Indigestion is subcategorized as either "organic" or " functional dyspepsia ", but making the diagnosis can prove challenging for physicians. [ 6 ]
Complications of longstanding GERD can include inflammation of the esophagus that may cause bleeding or ulcer formation, narrowing of the esophagus leading to swallowing issues, a change in the lining of the esophagus that can increase the chances of developing cancer (Barrett's esophagus), chronic cough, asthma, inflammation of the larynx ...
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