Medical therapy of gastroesophageal reflux and management of esophageal strictures

J. M. Wo, J. P. Waring

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

The goals of modem medical therapy for gastroesophageal reflux disease are threefold: first, eliminate symptoms; second, heal injured esophageal mucosa; third, manage and/or prevent complications. Selection of a particular medical regimen depends on the severity of the disease, effectiveness of the therapy, cost, and convenience of the medical regimen. An accurate diagnosis needs to be made in patients suspected with esophageal strictures. If there is a treatable underlying disease, specific therapy is essential. The goal of dilation therapy should be established and set about to accomplish in a timely, but unhurried fashion. Fluoroscopy and wire-guided dilators should be used liberally, especially for difficult strictures.

Original languageEnglish (US)
Pages (from-to)1041-1062
Number of pages22
JournalSurgical Clinics of North America
Volume77
Issue number5
DOIs
StatePublished - Jan 1 1997

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ASJC Scopus subject areas

  • Surgery

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