Endoscopy is, currently, the initial investigation of choice for the investigation of gastroesophageal reflux disease (GERD) in clinical practice and clinical research. Erosion severity is predictive of a patient's response to therapy and of the likelihood of relapse after therapy. It is

GERD – most common GI disease, 20 % Western population, transient LES relaxation Classic signs- heartburn, regurgitation Lower quality of life than angina, CHF, DM ABIM Foundation “Choosing Wisely ” initiative for titrating PPI use to lowest effective dose Empiric 4-8 week PPI or H2RA therapy

Abstract: This study included 30 COPD inpatients in chest and internal medicine departments in Ain Shams University Hospital, 15 of them with moderate COPD and 15 of them with severe COPD (by Gold 2007)(1), 25 were males and 5 were females (active or passive smokers). The aim of the work was to study the prevalence of GERD in COPD patients and its effect on the number of exacerbations of COPD. Both groups were subjected to history taking, full clinical examination, full laboratory investigations, radiography, spirometry, arterial blood gases and upper GIT endoscopy and biopsy. Results revealed that the prevalence of GERD in COPD patients was 53.3 % in the moderate group,73.3 in the severe group(total = 63.3 %) by endoscopy & was 66.6 % in the moderate group,93.3 % in the severe group ((total = 80 %) by biopsy being more prevalent in the severe group of COPD. GERD severity increases as the degree of COPD increases (there were more patients with advanced grades among severe COPD than the moderate group). GERD increases with increase in the smoking (pack/year) both in moderate & in the severe groups. Moreover, there were increase in the frequency of exacerbations of COPD in GERD patients both in moderate & in the severe groups. From this study we conclude that GERD is common in COPD patients being more among severe COPD. Also GERD increases the number of exacerbations of COPD. [Nature and Science. 2009;7(5):11-18].

ABSTRACT Objective: To describe the case of an infant with gastro-esophageal reflux disease which improved while under chiropractic care and to review the literature on chiropractic manipulation and gastro-esophageal reflux disease. Clinical Features: A 4-month-old female infant with gastro-esophageal

Abstract: Background and Aim: Eosinophilic esophagitis is an inflammatory disorder of the esophagus that is being increasingly diagnosed in the adult population. The present study aimed to determine the prevalence of eosinophilic esophagitis among Egyptian patients presenting with refractory GERD

reflux disease (GERD), a condition associated with dental erosions. Material and methods. 54 children have been clinically examined: 27 children suffering from GERD with ages between 13 and 15, were included in the study group, and 27 healthy children- the control group. The study of crystallographic

Background: Gastro-Esophageal Reflux Disease (GERD) defined as a condition that develops when the reflux of stomach contents causes troublesome symptoms and/or complications. Many drugs are used for the treatment of GERD such as omeprazole (a proton pump inhibitor) which is a widely used antiulcer

Abstract): The laparoscopic fundoplication became the standard treatment for gastro-esophageal reflux disease and hiatal hernia. Nissen and Toupet techniques are the most used surgical procedures. Which of these techniques is superior is a subject of debate. The Nissen procedure appears

outcome in gastro-esophageal reflux disease patients with

AIM: To evaluate the relationship of Helicobacter pylori infection to reflux esophagitis (RE), Barrett’s esophagus (BE) and gastric intestinal metaplasia (IM). METHODS: RE, BE and gastric IM were determined by upper endoscopy. Patients were divided into 2 groups; those with squamocolumnar junction