Treatment of GERD презентация, доклад

Слайд 1Treatment of GERD

Слайд 2Main principles of treatment:
Lifestyle modification
Drug therapy
Surgical treatment

Слайд 3Lifestyle Modifications in GERD
Smoking cessation
Weight Loss
Head of Bed Elevation
Avoidance of

Late-Night Meals
Breathing Exercises
Dietary Influences
Avoidance of alcohol

Lifestyle Modifications in GERDSmoking cessationWeight LossHead of Bed ElevationAvoidance of Late-Night MealsBreathing ExercisesDietary InfluencesAvoidance of alcohol

Слайд 4Medical Therapy
Acid suppression is the mainstay of GERD treatment today
70-90%

of patients will experience relapse within12 months of healing of

acute disease without prophylactic medical treatment
Agents used
Proton Pump Inhibitors
Histamine blockers
Prokinetic agents

Medical TherapyAcid suppression is the mainstay of GERD treatment today70-90% of patients will experience relapse within12 months

Слайд 5Histamine blockers
Reversible competitive blockade of H2 receptors of the

parietal cell
Acid suppression by 70%
Esophagitis healing rates up to 70%
Healing

rates dependent on dosage, treatment duration and severity of disease
Ranitidine, cimetidine, famotidine, nizatidine

Histamine blockers Reversible competitive blockade of H2 receptors of the parietal cellAcid suppression by 70%Esophagitis healing rates

Слайд 6Proton Pump Inhibitors (PPI)
Most effective available pharmacologic agent for GERD
Acid

suppression by 99%
Esophagitis healing rates 80-100%
Inhibit H+/K+ ATPase enzyme system

on parietal cells
Omeprazole, lansoprazole, rabeprazole, pantoprazole, esomeprazole

Proton Pump Inhibitors (PPI)Most effective available pharmacologic agent for GERDAcid suppression by 99%Esophagitis healing rates 80-100%Inhibit H+/K+

Слайд 7Indications for surgery
Patients with incomplete symptom control or disease progression

on PPI therapy
Patients with well-controlled disease who do not

want to be on life-long antisecretory treatment
Patients with proven extra-esophageal manifestations of GERD like cough, wheezing, aspiration, hoarseness, sore throat, otitis media, or enamel erosion.
The presence of Barrett esophagus is a controversial indication for surgery

Indications for surgeryPatients with incomplete symptom control or disease progression on PPI therapy Patients with well-controlled disease

Слайд 8Surgery
Works by restoring the barrier function of the LES
Careful selection

of patients with well documented GERD is imperative
Laparoscopic fundoplication is

considered the gold standard in antireflux surgery
Nissen and Toupet the most common
Number of cases risen exponentially

SurgeryWorks by restoring the barrier function of the LESCareful selection of patients with well documented GERD is

Разделы презентаций

Treatment of GERD

Содержание

Слайды и текст этой презентации

Слайд 1Treatment of GERD

Слайд 2Main principles of treatment:
Lifestyle modification
Drug therapy
Surgical treatment

Слайд 3Lifestyle Modifications in GERD
Smoking cessation
Weight Loss
Head of Bed Elevation
Avoidance of

Late-Night Meals
Breathing Exercises
Dietary Influences
Avoidance of alcohol

Слайд 4Medical Therapy
Acid suppression is the mainstay of GERD treatment today
70-90%

of patients will experience relapse within12 months of healing of

Слайд 5Histamine blockers
Reversible competitive blockade of H2 receptors of the

parietal cell
Acid suppression by 70%
Esophagitis healing rates up to 70%
Healing

Слайд 6Proton Pump Inhibitors (PPI)
Most effective available pharmacologic agent for GERD
Acid

suppression by 99%
Esophagitis healing rates 80-100%
Inhibit H+/K+ ATPase enzyme system

Слайд 7Indications for surgery
Patients with incomplete symptom control or disease progression

on PPI therapy
Patients with well-controlled disease who do not

Слайд 8Surgery
Works by restoring the barrier function of the LES
Careful selection

of patients with well documented GERD is imperative
Laparoscopic fundoplication is

Слайд 9Goals of surgery
Prevent significant reflux
Improve quality of life
Minimize complications (dysphagia)

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Разделы презентаций

Treatment of GERD

Содержание

Слайды и текст этой презентации

Слайд 1Treatment of GERD

Слайд 2Main principles of treatment:Lifestyle modificationDrug therapySurgical treatment

Слайд 3Lifestyle Modifications in GERDSmoking cessationWeight LossHead of Bed ElevationAvoidance of

Late-Night MealsBreathing ExercisesDietary InfluencesAvoidance of alcohol

Слайд 4Medical TherapyAcid suppression is the mainstay of GERD treatment today70-90%

of patients will experience relapse within12 months of healing of

Слайд 5Histamine blockers Reversible competitive blockade of H2 receptors of the

parietal cellAcid suppression by 70%Esophagitis healing rates up to 70%Healing

Слайд 6Proton Pump Inhibitors (PPI)Most effective available pharmacologic agent for GERDAcid

suppression by 99%Esophagitis healing rates 80-100%Inhibit H+/K+ ATPase enzyme system

Слайд 7Indications for surgeryPatients with incomplete symptom control or disease progression

on PPI therapy Patients with well-controlled disease who do not

Слайд 8SurgeryWorks by restoring the barrier function of the LESCareful selection

of patients with well documented GERD is imperativeLaparoscopic fundoplication is

Слайд 9Goals of surgeryPrevent significant refluxImprove quality of lifeMinimize complications (dysphagia)

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Что такое TheSlide.ru?

Слайд 2Main principles of treatment:
Lifestyle modification
Drug therapy
Surgical treatment

Слайд 3Lifestyle Modifications in GERD
Smoking cessation
Weight Loss
Head of Bed Elevation
Avoidance of

Late-Night Meals
Breathing Exercises
Dietary Influences
Avoidance of alcohol

Слайд 4Medical Therapy
Acid suppression is the mainstay of GERD treatment today
70-90%

Слайд 5Histamine blockers
Reversible competitive blockade of H2 receptors of the

parietal cell
Acid suppression by 70%
Esophagitis healing rates up to 70%
Healing

Слайд 6Proton Pump Inhibitors (PPI)
Most effective available pharmacologic agent for GERD
Acid

suppression by 99%
Esophagitis healing rates 80-100%
Inhibit H+/K+ ATPase enzyme system

Слайд 7Indications for surgery
Patients with incomplete symptom control or disease progression

on PPI therapy
Patients with well-controlled disease who do not

Слайд 8Surgery
Works by restoring the barrier function of the LES
Careful selection

of patients with well documented GERD is imperative
Laparoscopic fundoplication is

Слайд 9Goals of surgery
Prevent significant reflux
Improve quality of life
Minimize complications (dysphagia)