Tag Archives: endoscopy
Three Reasons Not To Ignore GERD/Heartburn Symptoms: Dr. Rashid Khan Explains

Three Reasons Not To Ignore GERD/Heartburn Symptoms: Dr. Rashid Khan Explains

Dr. Rashid Khan, in this BLOG entry, discusses the three reasons NOT to ignore heartburn symptoms.

For most Americans, heartburn is an occasional problem. Sixty million people get it at least once a month. But for the 20 million people who have a chronic form of heartburn known as gastroesophageal reflux disease (GERD), untreated symptoms can lead to a variety of health complications.

Here are three reasons why you shouldn’t ignore signs of GERD.

Three Questions About Heartburn

Three Questions About Heartburn

In GERD, stomach acid flows back into the esophagus, the tube that connects the throat to the stomach. Over time, this causes irritation of the lining of the esophagus, known as esophagitis.

If esophagitis is longstanding, scar tissue can narrow the esophagus. Called a stricture, this can make it hard or painful to swallow. Large pieces of food can get stuck as well as there being risk for choking.

If left untreated, constant acid reflux can cause precancerous changes in cells, a condition known as Barrett’s esophagus. This condition may not have any symptoms, but a doctor can diagnose it by performing an endoscopy. A small group of people with Barrett’s esophagus develop esophageal cancer, which is often deadly.

Finally, a subset of patients with GERD symptoms may actually have underlying heart disease i.e. angina. Women and the elderly, particularly, may not present with the typical crushing chest pain that we all hear about. Prompt evaluation by a cardiologist in certain cases is highly recommended.

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NASH and Fatty Liver Disease: Surgical Options

NASH and Fatty Liver Disease: Surgical Options

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Fatty liver disease is a hot topic here at the AASLD Annual Meeting. The complications of fatty liver including cirrhosis and liver cancer, and the central treatment strategy is weight loss. While bariatric surgery has been studies, presentations on less invasive therapies have been presented here at the meeting.

Early results of a number of studies looking at various endoscopic treatment options for treating obesity and nonalcoholic fatty liver disease (NAFLD) are promising, according to Barham Abu Dayyeh MD, MPH, Assistant Professor of Medicine, Mayo Clinic, Rochester, MN, who presented data on these options during the AASLD/ASGE Endoscopy Course on Friday.

Emerging endoscopic technologies have opened the door to using endoscopic approaches and devices to reproduce many of the anatomical alterations of bariatric surgery endoscopically and thereby contribute to the effective treatment of obesity and its associated disorders, researchers noted.

For those with fatty liver, the discussion with your doctor/surgeon has to now include less invasive therapies such as endoscopic procedures noted above.

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