Acid Reflux Treatment:Barrett’s Esophagus
A patient has Barrett’s Esophagus if there is gastric columnar epithelium more than 2.5 cm. proximal to the gastro-esophageal junction. Normally this area has esophageal lining which is squamous epithelium. The likely change is due to damage by acid reflux and when repaired the lining is replaced by gastric epithelium. This is diagnosed by endoscopy [...]
Acid Reflux Treatment: Terminology
Gastro-esophageal Reflux: The regurgitation of gastric contents back up into the oesophagus from the stomach. Gastro-esophageal reflux disease(GERD): A term used to embrace aspects of acid reflux. This disease can vary from mild with heartburn and no major structural change, but due to a sensitive oesophageal mucosa, to severe symptoms with difficulty swallowing or bleeding. [...]
Acid Reflux Treatment: Hiatus Hernia.
“Peptic Esophagitis” or inflammation and ulceration of the lower esophagus due to reflux of stomach contents was proposed some 70 years ago. In the 1950s it was thought to be caused by hiatus hernia. It was diagnosed by barium x-ray but 10% of hiatus hernia is not demonstrated on x-ray. From the sixties onwards, a [...]
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