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Thickened Feedings for Infants with Gastroesophageal Reflux - FPIN's Help Desk Answers ...

Oct 1, 2019 - Bottle-fed infants with gastroesophageal reflux should be given thickened formula feedings.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/1001/p437.html

Aspirin Plus a High-Dose PPI Prevents Death and Progression in Patients with Barrett ...

Mar 15, 2019 - In this study, patients with Barrett esophagus were less likely to die or develop esophageal cancer or high-grade dysplasia if they took high-dose esomeprazole (Nexium) alone or in combination with aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od5.html

Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...

Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p275.html

Eosinophilic Esophagitis: A Mimic of Gastroesophageal Reflux Disease - Editorials - ...

May 15, 2018 - Pathologic diseases, besides GERD, are becoming more prevalent and should be considered in the differential diagnosis of patients presenting with symptoms of esophageal dysfunction.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0515/p628.html

Reflux-Cough Syndrome: Guidelines from the ACCP - Practice Guidelines - American Family...

Nov 1, 2017 - In their updated guideline, the American College of Chest Physicians offers recommendations addressing: (1) whether treating gastroesophageal reflux disease (GERD) improves cough in patients with chronic cough, and (2) which clinical criteria suggest that chronic cough will respond to ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/1101/p611.html

Diagnosis and Treatment of Gastroesophageal Reflux in Infants and Children - American ...

Oct 15, 2015 - Gastroesophageal reflux is defined as the passage of stomach contents into the esophagus with or without accompanied regurgitation (spitting up) and vomiting. It is a normal physiologic process that occurs throughout the day in infants and less often in children and adolescents. ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1015/p705.html

Pharmacologic Therapy for Gastroesophageal Reflux Disease in Children - Cochrane for ...

Sep 1, 2015 - Among infants younger than 12 months diagnosed with GERD, weak evidence supports the use of proton pump inhibitors (PPIs) and histamine H2 antagonists. Among children 12 months and older, studies have shown moderate benefit from PPIs and weak benefit from H2 antagonists for providing ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0901/p351.html

Common Questions About the Management of Gastroesophageal Reflux Disease - American ...

May 15, 2015 - Common questions that arise regarding treatment of gastroesophageal reflux disease (GERD) include which medications are most effective, when surgery may be indicated, which patients should be screened for Barrett esophagus and Helicobacter pylori infection, and which adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0515/p692.html

AAP Releases Guideline for the Management of Gastroesophageal Reflux in Children - ...

Mar 1, 2014 - The American Academy of Pediatrics (AAP) has published a guideline on the management of gastroesophageal reflux (GER) in children based on recommendations from the North American and European Societies for Pediatric Gastroenterology, Hepatology, and Nutrition. It is important to ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0301/p395.html

Common Questions About Barrett Esophagus - American Family Physician

Jan 15, 2014 - Barrett esophagus is a precancerous metaplasia of the esophagus that is more common in patients with chronic reflux symptoms, although it also occurs in patients without symptomatic reflux. Other risk factors include smoking, male sex, obesity, white race, hiatal hernia, and increasing ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0115/p92.html

ACP Publishes Recommendations on Upper Endoscopy for Gastroesophageal Reflux Disease - ...

Dec 15, 2013 - Data suggest that upper endoscopy in patients with symptoms of gastroesophageal reflux disease (GERD) is useful only in certain situations. To help physicians avoid the overuse of interventions that have little effect on health outcomes, the American College of Physicians (ACP) recently...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1215/p865.html

Managing Chronic Gastroesophageal Reflux Disease - Implementing AHRQ Effective Health ...

Oct 1, 2012 - What are the effectiveness, benefits, and harms of therapies used to address symptoms and prevent adverse long-term outcomes in adults with gastroesophageal reflux disease (GERD)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2012/1001/p617.html

Reducing Adverse Effects of Proton Pump Inhibitors - American Family Physician

Jul 1, 2012 - Proton pump inhibitors effectively treat gastroesophageal reflux disease, erosive esophagitis, duodenal ulcers, and pathologic hypersecretory conditions. Proton pump inhibitors cause few adverse effects with short-term use; however, long-term use has been scrutinized for ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p66.html

Should We Screen Patients for Barrett's Esophagus? Yes: Men with Long-standing Reflux ...

May 15, 2011 - Although screening and surveillance for Barrett's esophagus is controversial, the latest evidence supports this approach to decrease morbidity and mortality. Carefully evaluating patients with reflux symptoms and stratifying them based on known risk factors has the potential to result ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0515/p1140.html

Should We Screen Patients for Barrett's Esophagus? No: The Case Against Screening - ...

May 15, 2011 - Although there is enthusiasm in some groups for screening patients for Barrett's esophagus, with the goal of reducing death from esophageal adenocarcinoma, review of the evidence does not show sufficient benefit to recommend such a program.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0515/p1148.html

Medical Management vs. Surgery for Gastroesophageal Reflux Disease - Cochrane for ...

Aug 1, 2010 - At one to three years, adults with GERD who were treated with laparoscopic fundoplication had more improvement in overall and GERD-specific quality of life scores and less exposure to acid in the lower esophagus compared with patients who use proton pump inhibitors (PPIs) and histamine ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0801/p244.html

Diagnosis of Gastroesophageal Reflux Disease - Point-of-Care Guides - American Family ...

May 15, 2010 - Diagnosis of GERD may be clinical (presentation with typical symptoms, such as heartburn); physiologic (evidence of abnormal pH levels in the distal esophagus); anatomic (evidence of esophagitis on endoscopy); or functional (clinical response to antacid medications). However, the ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2010/0515/p1278.html

GERD in Adults - Clinical Evidence Handbook - American Family Physician

Jan 15, 2009 - What are the effects of initial and maintenance treatment of GERD associated with esophagitis?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0115/p149.html

Atypical Presentations of Gastroesophageal Reflux Disease - American Family Physician

Aug 15, 2008 - Gastroesophageal reflux disease typically manifests as heartburn and regurgitation, but it may also present with atypical or extraesophageal symptoms, including asthma, chronic cough, laryngitis, hoarseness, chronic sore throat, dental erosions, and noncardiac chest pain. Diagnosing ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p483.html

Medical Treatments in the Short-term Management of Reflux Esophagitis - Cochrane for ...

Mar 1, 2008 - Proton pump inhibitors (PPIs) are the most effective short-term treatment for reflux esophagitis. Histamine H2 blockers are also effective compared with placebo, but are inferior to PPIs. There is limited evidence about adverse events with these therapies, but long-term therapy with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0301/p620.html

Long-term PPI Therapy and the Risk of Hip Fracture - AFP Journal Club - American Family...

Feb 1, 2008 - Does the long-term use of PPIs increase the risk of hip fracture? The physician must balance the risks and benefits of PPIs, especially in certain patients.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0201/p277.html

Choosing One PPI Treatment Over Another - AFP Journal Club - American Family Physician

Nov 1, 2007 - Is one PPI better than another? All PPIs are equally effective in equipotent dosages, and choice should be based on price.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2007/1101/p1273.html

Updated ACG Guidelines for Diagnosis and Treatment of GERD - Practice Guidelines - ...

Jun 15, 2005 - The American College of Gastroenterology (ACG) has updated its guidelines for the diagnosis and treatment of gastroesophageal reflux disease (GERD) to reflect the continuing advances in this area.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0615/p2376.html

Cochrane for Clinicians - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Many patients request delayed umbilical cord clamping in their birth plans. Delayed cord clamping allows continued perfusion while the baby transitions to newborn circulation. However, when an infant is high risk, physicians frequently clamp and cut the cord early to allow the neonatal ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2091a.html

Cochrane for Clinicians - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Thickened feeds and metoclopramide reduce symptoms of GER in normally developing infants. However, elevating the head of the crib appears to have no effect.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2091.html

Cochrane for Clinicians - Apr 1, 2005 - American Family Physician

Apr 1, 2005 - For empiric treatment of GERD or endoscopy-negative reflux disease, a short trial of a proton pump inhibitor increases the chance of remission. Histamine H2-receptor antagonists are less expensive and work well in many patients, particularly those with less severe symptoms or ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0401/p1303a.html

Cochrane for Clinicians - Apr 1, 2005 - American Family Physician

Apr 1, 2005 - Based on three good studies of 462 patients, discontinuing epidural analgesia in the second stage of labor does not significantly change rates of instrumented delivery or other delivery outcomes, but it increases rates of inadequate pain relief.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0401/p1303.html

Barrett's Esophagus - American Family Physician

May 1, 2004 - Gastroesophageal reflux disease (GERD) is a condition commonly managed in the primary care setting. Patients with GERD may develop reflux esophagitis as the esophagus repeatedly is exposed to acidic gastric contents. Over time, untreated reflux esophagitis may lead to chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2113.html

Screening for Barrett's Esophagus - Editorials - American Family Physician

May 1, 2004 - Advertisement << Previous article Next article >> May 1, 2004 Issue Editorials Screening for Barrett’s Esophagus Kenneth R. Devault, M.D., Mayo Clinic Jacksonville, Jacksonville, Florida Am Fam Physician. 2004 May 1;69(9):2061-2063. Related Article In Barrett’s esophagus, the...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0501/p2061.html

Endoscopy for Barrett's Esophagus and Esophageal Adenocarcinoma - Editorials - American...

May 1, 2004 - Advertisement << Previous article Next article >> May 1, 2004 Issue Editorials Endoscopy for Barrett’s Esophagus and Esophageal Adenocarcinoma NICHOLAS SHAHEEN, M.D., M.P.H., University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Am Fam Physician. 2004 May...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0501/p2060.html

Management of Gastroesophageal Reflux Disease - American Family Physician

Oct 1, 2003 - The primary treatment goals in patients with gastroesophageal reflux disease are relief of symptoms, prevention of symptom relapse, healing of erosive esophagitis, and prevention of complications of esophagitis. In patients with reflux esophagitis, treatment is directed at acid ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1311.html

Gastroesophageal Reflux: Medical and Surgical Treatment Options - Editorials - American...

Oct 1, 2003 - Advertisement << Previous article Next article >> Oct 1, 2003 Issue Editorials Gastroesophageal Reflux: Medical and Surgical Treatment Options KENNETH R. DEVAULT, M.D., Mayo Clinic, Jacksonville, Florida Am Fam Physician. 2003 Oct 1;68(7):1271-1277. Related Article Symptoms...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1001/p1271.html

Evaluation of Epigastric Discomfort and Management of Dyspepsia and GERD - Practice ...

Sep 15, 2003 - The Institute for Clinical Systems Improvement (ICSI) recently published a guideline on the evaluation and management of dyspepsia and gastroesophageal reflux disease (GERD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0915/p1215.html

Proton Pump Inhibitors: An Update - American Family Physician

Jul 15, 2002 - Since their introduction in the late 1980s, proton pump inhibitors have demonstrated gastric acid suppression superior to that of histamine H2-receptor blockers. Proton pump inhibitors have enabled improved treatment of various acid-peptic disorders, including gastroesophageal reflux ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0715/p273.html

Gastroesophageal Reflux in Infants and Children - American Family Physician

Dec 1, 2001 - Gastroesophageal reflux is a common, self-limited process in infants that usually resolves by six to 12 months of age. Effective, conservative management involves thickened feedings, positional treatment, and parental reassurance. Gastroesophageal reflux disease (GERD) is a less common,...

American Family Physician : Article

https://www.aafp.org/afp/2001/1201/p1853.html

Head and Neck Manifestations of Gastroesophageal Reflux Disease - American Family ...

Sep 1, 1999 - Gastroesophageal reflux disease (GERD) is the most common esophageal disease. Besides the typical presentation of heartburn and acid regurgitation, either alone or in combination, GERD can cause atypical symptoms. An estimated 20 to 60 percent of patients with GERD have head and neck ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p873.html

Gastroesophageal Reflux Disease: Diagnosis and Management - American Family Physician

Mar 1, 1999 - Gastroesophageal reflux disease (GERD) is a chronic, relapsing condition with associated morbidity and an adverse impact on quality of life. The disease is common, with an estimated lifetime prevalence of 25 to 35 percent in the U.S. population. GERD can usually be diagnosed based on ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1161.html

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