SlideShare a Scribd company logo
1 of 27
Kurdistan Board GEH/GIT Surgery J Club 2021
Supervised by Professor Dr. Mohamed Alshekhani.
Introduction:
 A lot has changed, much remains the same.
 GERD is among the most common diseases seen by GEists, surgeons&
PCPs.
 Our understanding of the varied presentations of GERD, enhancements in
diagnostic testing&approach to patient management have evolved.
 Scrutiny of PPIs has increased considerably.
 Although PPIs remain the medical treatment of choice for GERD, multiple
publications have raised questions about adverse events, raising doubts
about the safety of long-term use&increasing concern about
overprescribing of PPIs..
Conclusion:
 GERD is among the most common diss seen by GEists,surgeons& PCPs.
 Our understanding of the varied presentations of GERD, enhancements in
diagnostic testing&approach to patient management have evolved.
 During this time, scrutiny of PPIs has increased considerably.
 Although PPIs remain the medical treatment of choice for GERD, multiple
publications have raised questions about adverse events, raising doubts
about the safety of long-term use&increasing concern about
overprescribing of PPIs.
 New data regarding the potential for surgical & endoscopic interventions
have emerged.

More Related Content

What's hot

Abbreviated Laparotomy
Abbreviated LaparotomyAbbreviated Laparotomy
Abbreviated LaparotomyNHS
 
Bariatric surgery complications
Bariatric surgery complicationsBariatric surgery complications
Bariatric surgery complicationsmostafa hegazy
 
Impact of a designed nursing intervention protocol about preoperative liver t...
Impact of a designed nursing intervention protocol about preoperative liver t...Impact of a designed nursing intervention protocol about preoperative liver t...
Impact of a designed nursing intervention protocol about preoperative liver t...Alexander Decker
 
Typhoid intestinal perforation in children still a persistent problem in a ...
Typhoid intestinal perforation in children   still a persistent problem in a ...Typhoid intestinal perforation in children   still a persistent problem in a ...
Typhoid intestinal perforation in children still a persistent problem in a ...Clinical Surgery Research Communications
 
Colorectal cancer screening and computerized tomographic colonography
Colorectal cancer screening and computerized tomographic colonographyColorectal cancer screening and computerized tomographic colonography
Colorectal cancer screening and computerized tomographic colonographySpringer
 
Gi newsletter
Gi newsletterGi newsletter
Gi newsletterangel4567
 
Biopsychosocial Factors of Gastric Banding Patients in a Greek Population
Biopsychosocial Factors of Gastric Banding Patients in a Greek Population  Biopsychosocial Factors of Gastric Banding Patients in a Greek Population
Biopsychosocial Factors of Gastric Banding Patients in a Greek Population Konstantinos Konstantinidis,MD, PhD,FACS
 
Acs0603 Pulsatile Abdominal Mass
Acs0603 Pulsatile Abdominal MassAcs0603 Pulsatile Abdominal Mass
Acs0603 Pulsatile Abdominal Massmedbookonline
 

What's hot (20)

Abbreviated Laparotomy
Abbreviated LaparotomyAbbreviated Laparotomy
Abbreviated Laparotomy
 
Git j club ibs difficult to treat21
Git j club ibs difficult to treat21Git j club ibs difficult to treat21
Git j club ibs difficult to treat21
 
Obesity surgery in children 2017
Obesity surgery in children 2017Obesity surgery in children 2017
Obesity surgery in children 2017
 
Git j club informed consent in endoscopy22
Git j club informed consent in endoscopy22Git j club informed consent in endoscopy22
Git j club informed consent in endoscopy22
 
Muhannad Hafi MD
Muhannad Hafi MDMuhannad Hafi MD
Muhannad Hafi MD
 
Satisfaction in patients_undergoing_concurrent.5
Satisfaction in patients_undergoing_concurrent.5Satisfaction in patients_undergoing_concurrent.5
Satisfaction in patients_undergoing_concurrent.5
 
Bariatric surgery complications
Bariatric surgery complicationsBariatric surgery complications
Bariatric surgery complications
 
Abdominal tuberculosis
Abdominal tuberculosisAbdominal tuberculosis
Abdominal tuberculosis
 
International Journal of Hepatology & Gastroenterology
International Journal of Hepatology & GastroenterologyInternational Journal of Hepatology & Gastroenterology
International Journal of Hepatology & Gastroenterology
 
Impact of a designed nursing intervention protocol about preoperative liver t...
Impact of a designed nursing intervention protocol about preoperative liver t...Impact of a designed nursing intervention protocol about preoperative liver t...
Impact of a designed nursing intervention protocol about preoperative liver t...
 
Typhoid intestinal perforation in children still a persistent problem in a ...
Typhoid intestinal perforation in children   still a persistent problem in a ...Typhoid intestinal perforation in children   still a persistent problem in a ...
Typhoid intestinal perforation in children still a persistent problem in a ...
 
Petruzziello
PetruzzielloPetruzziello
Petruzziello
 
Open Journal of Surgery
Open Journal of SurgeryOpen Journal of Surgery
Open Journal of Surgery
 
Colorectal cancer screening and computerized tomographic colonography
Colorectal cancer screening and computerized tomographic colonographyColorectal cancer screening and computerized tomographic colonography
Colorectal cancer screening and computerized tomographic colonography
 
acalasia
acalasiaacalasia
acalasia
 
Gi newsletter
Gi newsletterGi newsletter
Gi newsletter
 
Biopsychosocial Factors of Gastric Banding Patients in a Greek Population
Biopsychosocial Factors of Gastric Banding Patients in a Greek Population  Biopsychosocial Factors of Gastric Banding Patients in a Greek Population
Biopsychosocial Factors of Gastric Banding Patients in a Greek Population
 
Sages Guideline on Endoluminal Surgery
Sages Guideline on Endoluminal SurgerySages Guideline on Endoluminal Surgery
Sages Guideline on Endoluminal Surgery
 
Git j club eus liver biopsy22
Git j club eus liver biopsy22Git j club eus liver biopsy22
Git j club eus liver biopsy22
 
Acs0603 Pulsatile Abdominal Mass
Acs0603 Pulsatile Abdominal MassAcs0603 Pulsatile Abdominal Mass
Acs0603 Pulsatile Abdominal Mass
 

Similar to Kurdistan Board GEH Surgery Club 2021 GERD Discussion

Awareness and attitudes of healthcare professionals in baguio benguet towards...
Awareness and attitudes of healthcare professionals in baguio benguet towards...Awareness and attitudes of healthcare professionals in baguio benguet towards...
Awareness and attitudes of healthcare professionals in baguio benguet towards...Alexander Decker
 
Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...
Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...
Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...KhalafAlGhamdi
 
DEPRESCRIBING..PPTX.pptx
DEPRESCRIBING..PPTX.pptxDEPRESCRIBING..PPTX.pptx
DEPRESCRIBING..PPTX.pptxIbrahimHamis2
 
The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...
The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...
The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...Covance
 
Journal Club Evaluation (Anesthisia).pptx
Journal Club Evaluation (Anesthisia).pptxJournal Club Evaluation (Anesthisia).pptx
Journal Club Evaluation (Anesthisia).pptxzeinabnm
 
A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...
A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...
A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...Khushboo Gandhi
 
MedicalResearch.com: Medical Research Interviews Month in Review
MedicalResearch.com:  Medical Research Interviews Month in ReviewMedicalResearch.com:  Medical Research Interviews Month in Review
MedicalResearch.com: Medical Research Interviews Month in ReviewMarie Benz MD FAAD
 
As Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept Pace
As Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept PaceAs Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept Pace
As Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept PaceCynthia Canelas
 
Influence of medicare formulary restrictions on evidence based prescribing pr...
Influence of medicare formulary restrictions on evidence based prescribing pr...Influence of medicare formulary restrictions on evidence based prescribing pr...
Influence of medicare formulary restrictions on evidence based prescribing pr...TÀI LIỆU NGÀNH MAY
 
Gina report 2014
Gina report 2014Gina report 2014
Gina report 2014Supang Mp
 
CUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIA
CUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIACUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIA
CUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIACarlosChavarry1
 
Teza doctorat vasilescu dan
Teza doctorat vasilescu danTeza doctorat vasilescu dan
Teza doctorat vasilescu danPopescuAnca8
 
MedicalResearch.com: Medical Research Exclusive Interviews November 5 2014
MedicalResearch.com:  Medical Research Exclusive Interviews November 5  2014MedicalResearch.com:  Medical Research Exclusive Interviews November 5  2014
MedicalResearch.com: Medical Research Exclusive Interviews November 5 2014Marie Benz MD FAAD
 

Similar to Kurdistan Board GEH Surgery Club 2021 GERD Discussion (20)

PIIS0885392419305792.pdf
PIIS0885392419305792.pdfPIIS0885392419305792.pdf
PIIS0885392419305792.pdf
 
Awareness and attitudes of healthcare professionals in baguio benguet towards...
Awareness and attitudes of healthcare professionals in baguio benguet towards...Awareness and attitudes of healthcare professionals in baguio benguet towards...
Awareness and attitudes of healthcare professionals in baguio benguet towards...
 
Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...
Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...
Proton Pump Inhibitors and Risk of Acute and Chronic Kidney Disease: A Retros...
 
DEPRESCRIBING..PPTX.pptx
DEPRESCRIBING..PPTX.pptxDEPRESCRIBING..PPTX.pptx
DEPRESCRIBING..PPTX.pptx
 
The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...
The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...
The Challenges Associated with Evaluating the Cost Benefit of Gene Therapies ...
 
Journal Club Evaluation (Anesthisia).pptx
Journal Club Evaluation (Anesthisia).pptxJournal Club Evaluation (Anesthisia).pptx
Journal Club Evaluation (Anesthisia).pptx
 
A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...
A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...
A SEEMINGLY BENIGN DRUG IN THE SPOTLIGHT: AN EDUCATIONAL INTERVENTION TO REDU...
 
MedicalResearch.com: Medical Research Interviews Month in Review
MedicalResearch.com:  Medical Research Interviews Month in ReviewMedicalResearch.com:  Medical Research Interviews Month in Review
MedicalResearch.com: Medical Research Interviews Month in Review
 
Gina Report 2015
Gina Report 2015                                             Gina Report 2015
Gina Report 2015
 
As Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept Pace
As Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept PaceAs Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept Pace
As Opioid Use Disorders Increase, Prescriptions for Treatment Have Not Kept Pace
 
Studies Show Obese People Are at Increased Risk for COVID-19
Studies Show Obese People Are at Increased Risk for COVID-19Studies Show Obese People Are at Increased Risk for COVID-19
Studies Show Obese People Are at Increased Risk for COVID-19
 
Influence of medicare formulary restrictions on evidence based prescribing pr...
Influence of medicare formulary restrictions on evidence based prescribing pr...Influence of medicare formulary restrictions on evidence based prescribing pr...
Influence of medicare formulary restrictions on evidence based prescribing pr...
 
PGD Decolonisation to Reduce Spinal Infection Rates
PGD Decolonisation to Reduce Spinal Infection RatesPGD Decolonisation to Reduce Spinal Infection Rates
PGD Decolonisation to Reduce Spinal Infection Rates
 
Gina report 2014
Gina report 2014Gina report 2014
Gina report 2014
 
STS 11.pptx
STS 11.pptxSTS 11.pptx
STS 11.pptx
 
CUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIA
CUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIACUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIA
CUAL ES L PREVALENCIA E INCIDENCIA DE LA PATOLOGIA RESPIRATORIA
 
Teza doctorat vasilescu dan
Teza doctorat vasilescu danTeza doctorat vasilescu dan
Teza doctorat vasilescu dan
 
Risk management presentation
Risk management presentationRisk management presentation
Risk management presentation
 
MedicalResearch.com: Medical Research Exclusive Interviews November 5 2014
MedicalResearch.com:  Medical Research Exclusive Interviews November 5  2014MedicalResearch.com:  Medical Research Exclusive Interviews November 5  2014
MedicalResearch.com: Medical Research Exclusive Interviews November 5 2014
 
Gold report 2014_jan23
Gold report 2014_jan23Gold report 2014_jan23
Gold report 2014_jan23
 

More from Case records of Sulaymaniah General Teaching Hospital.

More from Case records of Sulaymaniah General Teaching Hospital. (20)

Git j club be management advices22
Git j club be management advices22Git j club be management advices22
Git j club be management advices22
 
Git j club sbb22
Git j club sbb22Git j club sbb22
Git j club sbb22
 
Git j club ileal pouch disorders22
Git j club ileal pouch disorders22Git j club ileal pouch disorders22
Git j club ileal pouch disorders22
 
Git j club h pylori family based eradication22
Git j club h pylori family based eradication22Git j club h pylori family based eradication22
Git j club h pylori family based eradication22
 
Git j club eus liver biopsy22
Git j club eus liver biopsy22Git j club eus liver biopsy22
Git j club eus liver biopsy22
 
Git j club colon ischemia22
Git j club colon ischemia22Git j club colon ischemia22
Git j club colon ischemia22
 
Git j club cd ileal vs colonic22
Git j club cd ileal vs colonic22Git j club cd ileal vs colonic22
Git j club cd ileal vs colonic22
 
Git j club anal fissure adults22
Git j club anal fissure adults22Git j club anal fissure adults22
Git j club anal fissure adults22
 
Git j club aih guidelines22
Git j club aih guidelines22Git j club aih guidelines22
Git j club aih guidelines22
 
Git 6th acute diarrhea
Git 6th acute diarrheaGit 6th acute diarrhea
Git 6th acute diarrhea
 
Git 4th pancreatic disorders21
Git 4th pancreatic disorders21Git 4th pancreatic disorders21
Git 4th pancreatic disorders21
 
Git 4th oral diseases21
Git 4th oral diseases21Git 4th oral diseases21
Git 4th oral diseases21
 
Git 4th gib ulsi21
Git 4th gib ulsi21Git 4th gib ulsi21
Git 4th gib ulsi21
 
Git j club sbb22
Git j club sbb22Git j club sbb22
Git j club sbb22
 
Git j club ileal pouch disorders22
Git j club ileal pouch disorders22Git j club ileal pouch disorders22
Git j club ileal pouch disorders22
 
Git j club hbv trt extensions22
Git j club hbv trt extensions22Git j club hbv trt extensions22
Git j club hbv trt extensions22
 
Git j club gerd acg guides21
Git j club gerd acg guides21Git j club gerd acg guides21
Git j club gerd acg guides21
 
Git j club eus interventions s es22
Git j club eus interventions s es22Git j club eus interventions s es22
Git j club eus interventions s es22
 
Git j club cp endotherapy or surgery22
Git j club cp endotherapy or surgery22Git j club cp endotherapy or surgery22
Git j club cp endotherapy or surgery22
 
Git j club colon esd22
Git j club colon esd22Git j club colon esd22
Git j club colon esd22
 

Recently uploaded

Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls ServiceMiss joya
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call girls in Ahmedabad High profile
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
 

Kurdistan Board GEH Surgery Club 2021 GERD Discussion

  • 1. Kurdistan Board GEH/GIT Surgery J Club 2021 Supervised by Professor Dr. Mohamed Alshekhani.
  • 2. Introduction:  A lot has changed, much remains the same.  GERD is among the most common diseases seen by GEists, surgeons& PCPs.  Our understanding of the varied presentations of GERD, enhancements in diagnostic testing&approach to patient management have evolved.  Scrutiny of PPIs has increased considerably.  Although PPIs remain the medical treatment of choice for GERD, multiple publications have raised questions about adverse events, raising doubts about the safety of long-term use&increasing concern about overprescribing of PPIs..
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Conclusion:  GERD is among the most common diss seen by GEists,surgeons& PCPs.  Our understanding of the varied presentations of GERD, enhancements in diagnostic testing&approach to patient management have evolved.  During this time, scrutiny of PPIs has increased considerably.  Although PPIs remain the medical treatment of choice for GERD, multiple publications have raised questions about adverse events, raising doubts about the safety of long-term use&increasing concern about overprescribing of PPIs.  New data regarding the potential for surgical & endoscopic interventions have emerged.