Stomach Flu

The same health risks that make morbidly obese patients eligible for gastric bypass surgery also leave them susceptible to complications during and after the surgery, a study of 335 patients shows. The patients all had Roux-en-Y gastric bypass at the University Hospitals of Cleveland from 1998 to 2002. Roux-en-Y is the most popular surgery in […]

Yes. People who undergo this procedure are at risk for:
Pouch stretching (stomach gets bigger overtime, stretching back to its normal size before surgery).
Band erosion (the band closing off part of the stomach disintegrates).
Breakdown of staple lines (band and staples fall apart reversing procedure).
Leakage of stomach contents into the abdomen (this is dangerous because the acid […]

Gastric bypass operations combine the creation of a small stomach pouch to restrict food intake and construction of bypasses of the duodenum and other segments of the small intestine to cause malabsorption (decreased ability to absorb nutrients from food).

The acid in your stomach is the real thing — powerful enough to burn a hole in this page.
Typically, the stomach produces 1 to 2 quarts of gastric juices a day. Too much can lead to indigestion, gas, heartburn and sour stomach — the kinds of symptoms that keep many of us up and uncomfortable […]

Without clear, consistent terminology or a ‘gold standard’ for diagnosis, primary care physicians face uncertainty when making disease management decisions about patients presenting with symptoms of gastroesophageal reflux disease (GERD).
The Montreal Definition and Classification of GERD, published in 2006, provides an evidence-based and globally applicable definition, and supports a patient-centred and symptom-driven approach to the […]

Summary text
While GERD symptoms are generally considered to be caused by acid reflux, data indicate that other mechanisms, such as weakly acidic reflux, bile, reflux volume and esophageal distension may play a role. Baclofen therapy and surgical or endoscopic procedures have been shown to reduce weakly acidic reflux.
Key findings
Mechanisms other than acid reflux are involved […]

Summary text
During 4 years of observation, as part of the ProGERD cohort study, the majority of patients with GERD were receiving long-term treatment with a PPI. Continuous PPI treatment was more common than on-demand PPI treatment. The proportion of patients taking PPIs remained constant during 4 years of observation.
Key findings
Over 70% of GERD patients in […]

Summary text
This study found that the GERD Impact Scale (GIS) has good psychometric properties, with most physicians reporting that it facilitated clinical decision making. By helping patient–physician communication, the GIS will therefore be a useful aid for managing patients with GERD in the primary care setting.
Key findings
The GIS is a simple communication tool with good […]

Highlights of the month
Effect of baseline symptom severity on patient-reported outc…
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Responsiveness of measures of heartburn improvement in non-e…
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Unspecified abdominal pain in primary care: the role of gast…
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To read previously published Nexium articles
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To read previously published GERD updates
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When used in patients with gastroesophageal reflux disease (GERD) before and after 4 […]

Summary text
This article reviews the available literature on the factors contributing to the development of gastroesophageal reflux disease (GERD). The author concludes that the pathophysiology of GERD is multifactorial, and abnormalities in the gastroesophageal junction, the stomach, the esophagus and the nervous system may lead to development of the disease.
Key findings
The pathophysiology of GERD is […]