Up to 40% of patients with symptoms suspicious of gastroesophageal reflux disease (GERD)
do not respond completely to proton pump inhibitor (PPI) therapy. The term “refractory …

Also available: Consumer Reports Patient Resource on High-Value Care for GERD
Background: Upper endoscopy is commonly used in the diagnosis and management of …

BACKGROUND: Benign esophageal strictures refractory to standard dilation therapy
present a challenging problem. Temporary plastic and metal stents have been proposed …

BACKGROUND: Ingestion of caustic substances often leads to severe morbidity and,
frequently, death. This study compared complications and survival for patients who ingested …

A sliding hiatus hernia disrupts both the anatomy and physiology of the normal antireflux
mechanism. It reduces lower oesophageal sphincter length and pressure, and impairs the …

This is one of a series of statements discussing the use of gastrointestinal endoscopy in
common clinical situations. The Standards of Practice Committee of the American Society for …

This is one of a series of statements discussing the use of GI endoscopy in common clinical
situations. The Standards of Practice Committee of the American Society for Gastrointestinal …

Esophageal strictures are a common problem in gastroenterological practice. In general, the
management of malignant or benign esophageal strictures is different and requires a …

Patients with progressive or solid food dysphagia should be evaluated for the presence of
an esophageal stricture. Barium esophagram and endoscopy can define strictures as …

BACKGROUND Refractory benign esophageal strictures (RBES) are difficult to treat
requiring frequent dilatations or surgery. Conceptually, while maintaining luminal patency, if …