Simple advice given on the diagnosis and management of acid reflux …… Please click on the link
Further evidence can be found in these two articles looking at the benefit of a high soluble fibre diet and avoidance of known dietary triggers in helping settle acid-reflux symptoms.
Anyone concerned about the side effects of longterm PPIs should flick through this Review article from 2017 and the BSG’s Positional Statement.
I have no shares in this company, but I am often asked about anti-reflux wedge pillows. This is a link to a well established company that supplies the NHS, and can be found on Amazon.
Findings Surveillance Intestinal metaplasia of the cardia Not recommended Irregular Z line Not recommended <3cm without IM Repeat gastroscopy with quadrantic biopsies – if still no IM, discharge from surveillance <3cm with IM Every 3-5 years (agreed 4 yearly L&D) >3cm Every 2-3 years (agreed 2 yearly L&D)
Reflux Reflux symptoms can be experienced secondary to a range of problems that are not always acid related. Even in those related to acid reflux the OGD can be macroscopically normal in 85%. 15-30% of case are due to true gastro-oesophageal reflux disease, >70% is related to non erosive reflux disease (NERD) A recent trial by E. Savarino has helped…