Navigation Links
New Guidelines Urge Limiting Endoscopy for GERD
Date:12/4/2012

ent research on GERD and the use of endoscopy, were published Dec. 4 in the Annals of Internal Medicine.

The guidelines point to two other groups that should receive an upper endoscopy. One is people who experience GERD along with symptoms including vomiting and difficulty swallowing, which can be signs of treatable conditions, such as narrowing of the esophagus.

Upper endoscopy is also recommended for those who continue to have heartburn despite medications.

"Most people with GERD symptoms don't need an upper endoscopy. All they need is treatment, and if the symptoms resolve, that's good therapy and also a diagnostic test," Shaheen said.

"If symptoms are occurring everyday or frequently during the week, it's worth discussing with your physician because you might require [prescription medications like] proton pump inhibitors [PPIs]," Shaheen said. "On the other hand, say that you're having symptoms once a week or every other week after pizza and beer, you might get away just fine with antacid or over-the-counter H2 blockers."

Proton pump inhibitor drugs include Prilosec and Prevacid, while H2 blockers include Tagamet and Zantac.

Dr. Benjamin Havemann, a gastroenterologist in private practice in Austin, Texas, said that lifestyle changes, such as avoiding food and drink before bed, not overeating and elevating the head in bed, can also help reduce heartburn.

Forty percent of adults in the United States report GERD symptoms such as heartburn and regurgitation, according to study background information. And the number of upper endoscopies performed is on the rise.

"There is misusage [of upper endoscopies] -- some who need it aren't getting it, some who don't are. As many as a third of the examinations don't meet the criteria that have been created for appropriate usage," said guidelines author Shaheen.

He attributed misusage to factors including doctors' desire to be exhaustive, patients' expectations, as wel
'/>"/>

Copyright©2012 ScoutNews,LLC.
All rights reserved  

Page: 1 2 3 4

Related medicine news :

1. More Cancers May Be Missed Under Latest Mammogram Guidelines
2. Guidelines Issued to Resolve Temporary Facial Paralysis
3. First comprehensive guidelines for managing anaplastic thyroid cancer published in Thyroid journal
4. UMSOM dean urges caution in revising diagnostic guidelines for gestational diabetes
5. Guidelines developed for extremely premature infants at NCH proven to be life-changing
6. New pediatric heart failure guidelines a first in Canada
7. Modeling Good Research Practices guidelines for modeling in health care research available now
8. U-M guidelines help family physicians evaluate, manage urinary incontinence for women
9. New clinical guidelines for managing hypothyroid disease presented in Thyroid Journal
10. New Strep Throat Guidelines Tackle Antibiotic Resistance
11. Thyroid Treatment Guidelines for Pregnant Women Revised
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
New Guidelines Urge Limiting Endoscopy for GERD
(Date:12/17/2014)... -- Expectant parents should leave prenatal picture-taking to medical ... Use of ultrasound imaging and heartbeat monitors to get ... agency warns. "Although there is a lack ... and heartbeat monitors, prudent use of these devices by ... FDA biomedical engineer, said in an agency news release. ...
(Date:12/17/2014)... HealthDay Reporter , TUESDAY, Dec. 16, ... America, and work commitment is a big reason why, new ... said Dr. Mathias Basner, an assistant professor of sleep and ... of Medicine. A time-use survey of nearly 125,000 Americans, ... main activity exchanged for sleep. Short sleepers -- those who ...
(Date:12/15/2014)... 15, 2014 South Florida’s leading urgent care ... can be a daze of hassle, hustle, and bustle that ... decking halls, to burns when making special meals and heartburn ... can happen at any time. To prevent this season of ... made a list of helpful and healthful holiday tips to ...
(Date:12/15/2014)... News) -- Expert pilots process visual information more efficiently ... better decisions during landings, a new study shows. ... pilots to master, and 36 percent of all airplane ... final approach and landing. Researchers monitored the brain ... pilots while they were at the controls of a ...
(Date:12/15/2014)... 15, 2014 At the leading, long-established ... AutismOne and Focus Autism will welcome ... research on the effects of toxins to children’s health, ... information. , Luminaries such as Dr. Lucija Tomljenovic ... with esteemed, credentialed colleagues of the United States to ...
Breaking Medicine News(10 mins):Health News:FDA Warns Against Fetal 'Keepsake' Videos 2Health News:Work Steals Valuable Sleep Time, Study Finds 2Health News:Work Steals Valuable Sleep Time, Study Finds 3Health News:MD Now Urgent Care Presents Healthy Holiday Tips 2Health News:MD Now Urgent Care Presents Healthy Holiday Tips 3Health News:Study Shows Why Expert Pilots Are Experts 2Health News:AutismOne and Focus Autism Collaborate on Scientific Conference; International Group of Researchers to Present in Chicago, May 2015 2Health News:AutismOne and Focus Autism Collaborate on Scientific Conference; International Group of Researchers to Present in Chicago, May 2015 3
... birth defects, research shows , THURSDAY, Oct. 1 (HealthDay ... give birth to babies with heart defects, a new study ... researchers analyzed data on 6,440 infants with congenital heart defects ... in the National Birth Defects Prevention Study. , Women who ...
... Urges Congress to Pass Relief Legislation for Older Americans - ... Oct. 1 In the midst of dwindling retirement savings ... more bad news that could spell disaster for many - ... Today, AARP announced it will urge Congress to immediately ...
... drugs urged for moms-to-be , THURSDAY, Oct. 1 (HealthDay News) ... from H1N1 swine flu as of the end of August, ... federal health officials said Thursday. , While the officials said ... the number of deaths from the H1N1 flu could be ...
... (WSNA), representing more than 16,000 registered nurses in Washington State, ... System for unilaterally implementing a mandatory vaccination policy. This new ... to wear face masks as a condition of employment and ... comply with the policy. The lawsuit seeks an injunction to ...
... and cardiologists across the country are reaching out to ... preserved as discussions about healthcare reform continue. ... Medicaid Services (CMS) - scheduled to become law January ... life-saving cardiology testing and services currently available in cardiology ...
... System study has found that high-risk surgery patients ... seen by general internists trained in managing medical ... high-risk orthopaedic surgeries experienced shorter stays when their ... And, the study found, patients reported they were ...
Cached Medicine News:Health News:Pre-Pregnancy Weight Linked to Babies' Heart Problems 2Health News:28 Pregnant Women Have Died From Swine Flu: CDC 2Health News:28 Pregnant Women Have Died From Swine Flu: CDC 3Health News:Washington State Nurses Association Seeks Injunction in Federal Court to Block Mandatory Vaccination Policy by MultiCare Health System 2Health News:Proposed Medicare Changes Will Increase Costs to Government, Decrease Options for Patients 2Health News:Proposed Medicare Changes Will Increase Costs to Government, Decrease Options for Patients 3Health News:How to reduce hospital stays and increase patient satisfaction 2
(Date:12/15/2014)... 12, 2014 Research and Markets ( ... "Inferior Vena Cava (IVC) Filters - Global Trends, Estimates ... http://photos.prnewswire.com/prnh/20130307/600769 Global ... reach US$435 million by 2016. The North ... the global value while Europe ...
(Date:12/15/2014)... and BRIDGEWATER, N.J. , ... REGN) and Sanofi US (EURONEXT: SAN and NYSE: SNY) ... organizations to launch Cholesterol Counts , an awareness ... cholesterol, their numbers, and the risks associated with high ... www. CholesterolCounts .com to take a brief ...
(Date:12/15/2014)... , Dec. 15, 2014   DaVita HealthCare ... of the nation,s largest and most innovative health ... business units, DaVita Clinical Research  (DCR) and  HealthCare ... further expand its extensive clinical research and data ... disease (CKD) and end-stage renal disease (ESRD), as ...
Breaking Medicine Technology:Inferior Vena Cava (IVC) Filters - Global Trends, Estimates and Forecasts, 2012-2018 2Inferior Vena Cava (IVC) Filters - Global Trends, Estimates and Forecasts, 2012-2018 3Inferior Vena Cava (IVC) Filters - Global Trends, Estimates and Forecasts, 2012-2018 4Have You Been Counted? Regeneron and Sanofi US Join Forces with Leading Cardiovascular Organizations to Raise Awareness of Cholesterol 2Have You Been Counted? Regeneron and Sanofi US Join Forces with Leading Cardiovascular Organizations to Raise Awareness of Cholesterol 3Have You Been Counted? Regeneron and Sanofi US Join Forces with Leading Cardiovascular Organizations to Raise Awareness of Cholesterol 4Have You Been Counted? Regeneron and Sanofi US Join Forces with Leading Cardiovascular Organizations to Raise Awareness of Cholesterol 5Have You Been Counted? Regeneron and Sanofi US Join Forces with Leading Cardiovascular Organizations to Raise Awareness of Cholesterol 6DaVita Clinical Research and HealthCare Partners Clinical Research to Merge and Expand Clinical Trials and Data Analytics Capabilities 2DaVita Clinical Research and HealthCare Partners Clinical Research to Merge and Expand Clinical Trials and Data Analytics Capabilities 3DaVita Clinical Research and HealthCare Partners Clinical Research to Merge and Expand Clinical Trials and Data Analytics Capabilities 4
... DUSA Pharmaceuticals, Inc.® (Nasdaq: DUSA ), a ... it has been named to Deloitte,s 2010 Technology Fast ... DUSA as one of the Top 500 fastest growing ... in North America.  Rankings are based on percentage of ...
... Oct. 26 Neurocrine Biosciences, Inc. (Nasdaq: NBIX ... Officer of Neurocrine Biosciences, will be presenting at the Oppenheimer ... The live presentation takes place on Tuesday, November 2, ... Time.  The presentation will be webcast and may be accessed ...
Cached Medicine Technology:DUSA Pharmaceuticals Named to Deloitte's 2010 Technology Fast 500 List of Fastest Growing Companies in North America 2
For accurately monitoring heart and breath sounds....
For accurately monitoring core temperature and heart and breath sounds....
For accurately monitoring core temperature and heart and breath sounds....
... Level 1 enables hospitals ... patient monitors to a ... Our temperature monitoring disposale ... are superior in their ...
Medicine Products: