Normal
Treatment of GERD


   Wilcotte C Rahming, M.D.

    Oconee Medical Center
SYMPTOMS

• Heartburn
• Bleeding
• Pain while swallowing
• Difficulty swallowing
• Weight loss
COMPLICATIONS

• Barrett’s
• Erosion
• Obstruction from scarring
• Cancer
DIAGNOSIS


• Medication trial
• Endoscopy
Barrett’s Esophagus
• Affects the lining of the esophagus
• 3.3 million adults > 50
• Pre-cancerous
• 30-125 X >
• Inciden...
Barrett’s Esophagus

• 13% Caucasian men > 50
• 25% > 50 w/o Sx’s
• 44% adults have Sx’s monthly
• 18% weekly
Types


• IM with
SURVEILLANCE

• No dysplasia every 3 years
• LGD 6 - 12 months
• HGD every 3 months
TREATMENT

• Lifestyle change
• Medication
• Endoscopic
• Surgery
ENDOSCOPY

• RFA
• APC
• PDT
• CSA
GOALS

• Eliminate all IM
• Prevent progression NDBE/LGD to HGD
• HGD to cancer
• Complete eradication of BE
• Not to elim...
Oconee Gerd Presentation Key
Oconee Gerd Presentation Key
Oconee Gerd Presentation Key
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Oconee Gerd Presentation Key

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  • Oconee Gerd Presentation Key

    1. 1. Normal
    2. 2. Treatment of GERD Wilcotte C Rahming, M.D. Oconee Medical Center
    3. 3. SYMPTOMS • Heartburn • Bleeding • Pain while swallowing • Difficulty swallowing • Weight loss
    4. 4. COMPLICATIONS • Barrett’s • Erosion • Obstruction from scarring • Cancer
    5. 5. DIAGNOSIS • Medication trial • Endoscopy
    6. 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. 7. Barrett’s Esophagus • 13% Caucasian men > 50 • 25% > 50 w/o Sx’s • 44% adults have Sx’s monthly • 18% weekly
    8. 8. Types • IM with
    9. 9. SURVEILLANCE • No dysplasia every 3 years • LGD 6 - 12 months • HGD every 3 months
    10. 10. TREATMENT • Lifestyle change • Medication • Endoscopic • Surgery
    11. 11. ENDOSCOPY • RFA • APC • PDT • CSA
    12. 12. 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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