ASGE Annual Postgraduate Course: Leveraging New Advances to Improve Patient Outcomes (On-demand) | May 2024-Moving Beyond Medical Therapy for Refractory GERD

Video Transcription

Video Summary

Dr. Raina Yadlapathy discussed refractory GERD and the options beyond medical therapy. She emphasized the importance of personalizing treatment based on patients' phenotypes and preferences. Lifestyle optimization, including weight loss, sleep position, and diaphragmatic breathing, can significantly improve symptoms. Various pharmacotherapies, such as PPIs, histamine 2 receptor antagonists, and potassium competitive acid blockers, were explored. Testing for refractory GERD involves endoscopy and pH impedance studies. Different interventions like fundoplication, magnetic sphincter augmentation, and endoscopic fundoplication were highlighted as options for mechanical restoration. Dr. Yadlapathy stressed the need for proper patient selection, preoperative evaluation, and expertise in achieving successful outcomes. The presentation concluded with a summary of key points and recommendations for managing refractory GERD effectively.

Asset Subtitle

Rena H. Yadlapati, MD, MSHS

Meta Tag

Concept Refractory Gastroesophageal Reflux Disease

Concept Persistent GERD

Concept Proton Pump Inhibitor

Concept pH-Impedance Monitoring

Concept Achalasia

Keywords

refractory GERD

medical therapy

personalized treatment

lifestyle optimization

pharmacotherapies

Refractory Gastroesophageal Reflux Disease

Persistent GERD

Proton Pump Inhibitor

pH-Impedance Monitoring

Achalasia