If sx improve continue PPI discuss long term mgmt options 2 continued medical mgmt re eval periodically consider darr dose1 4 vs surgical endoscopic anti reflux procedure in select pts2 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:40 Read more about If sx improve continue PPI discuss long term mgmt options 2 continued medical mgmt re eval periodically consider darr dose1 4 vs surgical endoscopic anti reflux procedure in select pts2
Optimize PPI verify compliance uarr to bid dosing 1 3 ensure dosing 30 60min before meals2 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:38 Read more about Optimize PPI verify compliance uarr to bid dosing 1 3 ensure dosing 30 60min before meals2
Optimize PPI then pursue impedance pH testing if sx unresolved some pts more appropriate for anti reflux procedures Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:38 Read more about Optimize PPI then pursue impedance pH testing if sx unresolved some pts more appropriate for anti reflux procedures
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 - 16:19 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 - 16:18 Read more about Consider H pylori testing in pts on long term PPI3
Pursue reflux monitoring off PPI if EGD normal2 AGA WGO suggest esophageal manometry before pH impedance testing 1 3 if reflux monitoring consider other dx2 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:17 Read more about Pursue reflux monitoring off PPI if EGD normal2 AGA WGO suggest esophageal manometry before pH impedance testing 1 3 if reflux monitoring consider other dx2
Repeat EGD after 8wk of PPI tx if severe erosive esophagitis present to eval for Barrett s 5 long term PPI recommended in those w persistent sx and Barrett s can consider if no sx Barrett s 4 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:16 Read more about Repeat EGD after 8wk of PPI tx if severe erosive esophagitis present to eval for Barrett s 5 long term PPI recommended in those w persistent sx and Barrett s can consider if no sx Barrett s 4
If acid related complications eg erosive esophagitis stricture long term PPI recommended for short term healing long term sx relief4 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:15 Read more about If acid related complications eg erosive esophagitis stricture long term PPI recommended for short term healing long term sx relief4
If sx not satisfactorily improved w optimal PPI d c PPI x2 4wk and perform EGD1 3 5 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:15 Read more about If sx not satisfactorily improved w optimal PPI d c PPI x2 4wk and perform EGD1 3 5
If sx improve continue PPI discuss long term mgmt options 2 continued medical mgmt re eval periodically consider darr dose1 4 vs surgical endoscopic anti reflux procedure in select pts2 5 Submitted by hgreaney@athen… on Mon, 01/24/2022 - 16:14 Read more about If sx improve continue PPI discuss long term mgmt options 2 continued medical mgmt re eval periodically consider darr dose1 4 vs surgical endoscopic anti reflux procedure in select pts2 5
