Upper GI Tract
From the Journals
Experts update diagnostic guidelines for eosinophilic esophagitis
The diagnosis no longer needs to include a trial of proton pump inhibitor therapy.
From the Journals
GERD patients who fail PPI often have functional heartburn or hypersensitivity
Reflux characteristics and pH levels were not significantly different between GERD patients who improved on PPI therapy and those who did not.
From the Journals
POEM effective for more than achalasia
Conference Coverage
Eosinophilic esophagitis: Faces and facets of a new disease
While still a young disease, EoE has evolved from esoterica to a leading cause of dysphagia and food impaction worldwide.
Practice Management Toolbox
Patient-reported outcomes in esophageal diseases
Multiple well-constructed PROs exist for symptom domains such as dysphagia and heartburn, and can be used to monitor symptoms over time and assess...
From the Journals
Study models surveillance interval after ablation of Barrett’s esophagus
Baseline histologic grade was the most important predictor of recurrence.
Conference Coverage
Upper GI tract
This summary is provided by the moderator of one of the AGA Postgraduate Courses held at DDW 2018.
From the AGA Journals
AGA Clinical Practice Update: Extraesophageal symptoms attributed to GERD
When patients lack typical symptoms of gastroesophageal reflux disease (GERD) and have extraesophageal symptoms, ENT, allergy, and pulmonary work-...
From the Journals
Barrett’s esophagus risk factor profile may predict progression
Odds ratios ranged from 4.3 (low-grade dysplasia) to 1.03 (older age).
Conference Coverage
Fundoplication works best for true PPI-refractory heartburn
Careful work-up rules out 79% of presumed PPI-refractory heartburn cases, but for the remaining 21% with true disease, fundoplication works best...