Not recommended in absence of risk factors for pts on long term PPI probiotics 4 uarr Ca vit D or Mg intake BMD monitoring vit B12 Mg or Cr testing2 4 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:45 Read more about Not recommended in absence of risk factors for pts on long term PPI probiotics 4 uarr Ca vit D or Mg intake BMD monitoring vit B12 Mg or Cr testing2 4
Consider H pylori testing in pts on long term PPI3 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:44 Read more about Consider H pylori testing in pts on long term PPI3
Pts w GERD sx Barrett s should take long term PPI those w o sx may consider same4 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:43 Read more about Pts w GERD sx Barrett s should take long term PPI those w o sx may consider same4
If severe erosive esophagitis present on initial EGD repeat EGD after 8wk PPI to eval for Barrett s6 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:43 Read more about If severe erosive esophagitis present on initial EGD repeat EGD after 8wk PPI to eval for Barrett s6
Surgical endoscopic anti reflux procedures If primary unresolved sx is regurgitation consider MSA TIF5 or fundoplication without pH monitoring also consider anti reflux procedures in those w abnl impedance pH testing alternatively escalate medical tx 2 LA Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:41 Read more about Surgical endoscopic anti reflux procedures If primary unresolved sx is regurgitation consider MSA TIF5 or fundoplication without pH monitoring also consider anti reflux procedures in those w abnl impedance pH testing alternatively escalate medical tx 2 LA
If sx not satisfactorily improved w optimal PPI perform impedance pH monitoring on bid PPI consider other dx if normal2 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:41 Read more about If sx not satisfactorily improved w optimal PPI perform impedance pH monitoring on bid PPI consider other dx if normal2
