Randomized Trial of Medical versus Surgical Treatment for Refractory #Heartburn | #NEJM https://t.co/wRVgBAIUMU
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
Bit of an odd trial given selection criteria and enrollment, but does nicely show benefits of antireflux surgery for refractory #GERD
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM Laparoscopic Nissen fundoplication is superior to medical therapy for #GERD. https://t.co/2XVoXZLF8x https://t.co/ujgPrF8lj8
RT @lrkosinski: Great study! The bottom line is that we have to do our homework preoperatively to choose the correct patients for surgery.…
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
治療抵抗性の胸やけに対する薬物治療と外科治療とを比較する無作為化試験 Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn. N Engl J Med 2019; 381:1513-1523 https://t.co/dlfnHa2jXt
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/igDiQj7jmk
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
Reflujo gastresofagico, importante factor de riesgo en enfermedades respiratorias. Tratamiento medico o cirugía?/1 @SOVETORAX @sovetoraxzulia @SVMI_Nacional https://t.co/4AhibLWs6Q
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
Surgical treatment for Refractory heartburn
RT @drantoniogil: Tratamiento médico vs quirúrgico en el Reflujo refractario a tratamiento con omeprazol. La cirugía como terapia de elecc…
@IECED
RT @drantoniogil: Tratamiento médico vs quirúrgico en el Reflujo refractario a tratamiento con omeprazol. La cirugía como terapia de elecc…
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
#VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
RT @UM_IHPI: When should patients with chronic #heartburn opt for surgery over medication? Our members @AmirGhaferi & Joel Rubenstein are a…
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
RT @AmirGhaferi: Interesting results of trial comparing surgery v medical mgmt of #GERD led by Stuart Spechler of @bswhealth_DFW Honored t…
RT @KenDBerryMD: How about an RCT of #KETO v. PPI v. Surgery for GERD? https://t.co/RRkJ8UojdA
RT @ZiadGelladMD: Surgery works in the right population of patients with refractory GERD - Privileged to have participated in this import…
RT @ZiadGelladMD: Surgery works in the right population of patients with refractory GERD - Privileged to have participated in this import…
RT @GuiRamosMD: Interesting @NEJM paper this week: ✅ PPI-refractory GERD needs to be evaluated 1st to ensure 1) Correct Dose/Compliance ,…
Great study! The bottom line is that we have to do our homework preoperatively to choose the correct patients for surgery.
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
Important to identify underlying phenotype. Consider surgery in refractory disease. 👍
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
RT @KenDBerryMD: How about an RCT of #KETO v. PPI v. Surgery for GERD? https://t.co/RRkJ8UojdA
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
RT @ZiadGelladMD: Surgery works in the right population of patients with refractory GERD - Privileged to have participated in this import…
RT @GuiRamosMD: Interesting @NEJM paper this week: ✅ PPI-refractory GERD needs to be evaluated 1st to ensure 1) Correct Dose/Compliance ,…
Interesting @NEJM paper this week: ✅ PPI-refractory GERD needs to be evaluated 1st to ensure 1) Correct Dose/Compliance , 2) Rule out complications/Motility or Functional Dis; 🤯 For those with true PPI-refractory GERD, Surgery can be beneficial! Practice
RT @UM_IHPI: When should patients with chronic #heartburn opt for surgery over medication? Our members @AmirGhaferi & Joel Rubenstein are a…
When should patients with chronic #heartburn opt for surgery over medication? Our members @AmirGhaferi & Joel Rubenstein are among the authors of a new @NEJM study looking at this issue: https://t.co/Bmoyc4bOJN
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
Interesting @NEJM this week: ✅ PPI-refractory GERD needs to be evaluated 1st to ensure 1) Correct Dose/Compliance , 2) Rule out complications/Motility or Functional Disorders; 🤯 On those with true PPI-refractory GERD, Surgery can be beneficial Practice Ch
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/tJNmFiDg3O
RT @ZiadGelladMD: Surgery works in the right population of patients with refractory GERD - Privileged to have participated in this import…
Surgery works in the right population of patients with refractory GERD - Privileged to have participated in this important trial at the @vadurham @vahsrd @NEJM @Duke_GI_ https://t.co/2IwNwqQJ6c https://t.co/gNxMJ2CMMs
RT @HamzeSaraireh: A new study in NEJM suggests that surgery would be a reasonable option for patients with truly PPI-refractory heartburn;…
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
RT @KenDBerryMD: How about an RCT of #KETO v. PPI v. Surgery for GERD? https://t.co/RRkJ8UojdA
This underwhelming trial gives me hope--and pause--that really anything could be published in @NEJM. 78 patients with PPI-refractory GERD across 15 VA centers over 3+ years in final randomization. Lots of other red flags. Incredible. https://t.co/3N3KAjjH0
RT @LizzieAbyMD: @NEJM paper looking at PPI-refractory GERD found that in a highly selected group, treatment success (defined as improvemen…
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
approximately 20% of adults regularly have symptoms of gastroesophageal reflux disease (GERD) 米国成人の5人に1人が胃食道逆流症(GERD)症状を繰り返し被っている https://t.co/a98MEfTY07 via @BioTodaySuppl
RT @DrReddyGI: Many people will read the top line data and think this study suggests that surgery should be offered earlier for management…
Entre pacientes referidos a la consulta de gastroenterología porque el plan de estudio sistemático reveló una acidez gástrica relacionada con reflujo refractaria a los inhibidores de la bomba de protones, la cirugía sería superior al tratamiento médico htt
RT @DrMohdZein: Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM ✔️Functional heartburn excluded ✔️ 7…
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/o6V6OX7Mlt
Many people will read the top line data and think this study suggests that surgery should be offered earlier for management of #GERD, but as @NJTalley01 @MJA_Editor notes in his editorial (https://t.co/qucqqTNIiS) that should not be the takeaway #heartburn
How about an RCT of #KETO v. PPI v. Surgery for GERD? https://t.co/RRkJ8UojdA
RT @cchildersmd: Yes... @NEJM just published a trial of 78 patients for medical va surgical management of refractory GERD. With 288/366 pa…
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/YyoXWxofli
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
RT @anjan_dhar6: Very fascinating study. Truly PPI refractory GORD is uncommon after systematic work up. https://t.co/nvemFLS2QD
RT @NEJM: Patients who were referred to Veterans Affairs gastroenterology clinics with heartburn unresponsive to a proton-pump inhibitor ha…
Yes... @NEJM just published a trial of 78 patients for medical va surgical management of refractory GERD. With 288/366 patients enrolled dropping out... https://t.co/7Jwh5snVm7
Take home points: -most patients referred with “PPI-refractory #GERD” were not. 17% improved w/ BID PPI. 50% not GERD. -in patients who get thorough eval and good PPI trial, surgery may help more than meds Caveats: only 1 yr post-op f/up, small study, g
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/4pvoTiYV9Y
@NEJM paper looking at PPI-refractory GERD found that in a highly selected group, treatment success (defined as improvement in GERD-HRQL score) w/laparoscopic Nissen fundoplication at 1yr was superior to active medical treatment (p=0.007). https://t.co/Ui
RT @AmirGhaferi: Interesting results of trial comparing surgery v medical mgmt of #GERD led by Stuart Spechler of @bswhealth_DFW Honored t…
A new study in NEJM suggests that surgery would be a reasonable option for patients with truly PPI-refractory heartburn; treatment success rate 67% compared to 28% in aggressive medical therapy group. @NEJM @JWatch #heartburn #PPI #GERD https://t.co/5zf
RT @AmirGhaferi: Interesting results of trial comparing surgery v medical mgmt of #GERD led by Stuart Spechler of @bswhealth_DFW Honored t…
Interesting results of trial comparing surgery v medical mgmt of #GERD led by Stuart Spechler of @bswhealth_DFW Honored to be a part of this study along with Joel Rubenstein and @umfoodoc of @umichmedicine and @VAAnnArbor @SAGES_Updates @AcademicSurgery