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Oconee Gerd Presentation Key
1.
Normal
2.
Treatment of GERD
Wilcotte C Rahming, M.D. Oconee Medical Center
3.
SYMPTOMS • Heartburn • Bleeding •
Pain while swallowing • Difficulty swallowing • Weight loss
4.
COMPLICATIONS • Barrett’s • Erosion •
Obstruction from scarring • Cancer
5.
DIAGNOSIS • Medication trial •
Endoscopy
6.
Barrett’s Esophagus • Affects
the lining of the esophagus • 3.3 million adults > 50 • Pre-cancerous • 30-125 X > • Incidence increase 6 fold
7.
Barrett’s Esophagus • 13%
Caucasian men > 50 • 25% > 50 w/o Sx’s • 44% adults have Sx’s monthly • 18% weekly
8.
Types • IM with
9.
10.
11.
12.
SURVEILLANCE • No dysplasia
every 3 years • LGD 6 - 12 months • HGD every 3 months
13.
TREATMENT • Lifestyle change •
Medication • Endoscopic • Surgery
14.
ENDOSCOPY • RFA • APC •
PDT • CSA
15.
GOALS • Eliminate all
IM • Prevent progression NDBE/LGD to HGD • HGD to cancer • Complete eradication of BE • Not to eliminate need for surveillance
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