Managing Refractory GERD Symptoms: What To Do Next?

Video Transcription

Video Summary

This video is a webinar presented by the American Society for Gastrointestinal Endoscopy (ASGE) on managing refractory GERD symptoms. The main presenter, Dr. Michael Smith, discusses the definition, symptoms, and causes of GERD. He highlights various medical options for treatment, such as lifestyle modifications, antacids, prokinetics, H2 blockers, and proton pump inhibitors (PPIs), emphasizing the superiority of PPI therapy. Dr. Smith also mentions alternative therapies for patients who cannot take PPIs long-term. He emphasizes weight loss, head-of-bed elevation, and meal timing. Dr. Smith explains the role of H2 blockers and their limitations compared to PPIs. He presents his approach to managing refractory GERD symptoms, including risk stratification, quantitative reflux testing, and diagnostic tests. Dr. Smith suggests using com-pinatorial therapy, combining medical and anatomic interventions. He discusses anatomic interventions such as traditional surgery, newer surgical approaches, and endoscopic procedures. The video concludes by highlighting potential benefits of endoscopic therapies and the importance of individualizing treatment based on patient characteristics and preferences.<br /><br />Overall, the video provides an overview of managing refractory GERD symptoms, treatment options, and diagnostic tests. It also explores anatomic interventions and discusses the importance of combination therapy and individualized treatment.

Keywords

webinar

ASGE

refractory GERD symptoms

Dr. Michael Smith

GERD definition

treatment options

lifestyle modifications

antacids

prokinetics

PPIs

alternative therapies

combinatorial therapy

anatomic interventions

endoscopic procedures