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Diagnose Reflux Using Esophageal Manometry

DIAGNOSTIC TESTING

Esophageal manometry is a very common test that’s performed when we evaluate patients who have refractory reflux. It really is important because sometimes the lower esophageal sphincter is actually too tight rather than too loose. This would be known as...

Reflux Testing When Dietary Measures Fail

DIAGNOSTIC TESTING

One of the most important things that we have to consider when faced with reflux disease that is not responding to simple dietary measures is what type of testing do we need to do to fully characterize that disease. On the surface that seems like a fairly simple...

Reflux Therapy Based on Anatomy

TREATMENT: Basic Concepts

Reflux Therapy Based on Anatomy Reflux Therapy Based on Sphincter Anatomy There are many different forms of treatment for reflux, and we consider treatment for reflux that is more advanced, when you’re not responding to simple dietary measures, or lifestyles...

Is Stretta Safe for Curing Reflux

TREATMENT: Non-Surgical Options

From a safety perspective, it is an extremely safe procedure because the device was designed to vigorously protect any damage to the tissue. There’s no damage to the surface or deeper tissues or the possibility of scarring. There’s no restriction or...

Surgical Treatment of Reflux – Why

TREATMENT: Surgical

The indications for considering a surgical therapy are actually very easy to define. One easy indication is the size or presence of an hiatal hernia. A hiatal hernia is a large gap in the diaphragm that allows a portion of your stomach to move from the positive...
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