RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @cboumitriMD: Check this tweetorial by the one and only @BalissMichelle
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @cboumitriMD: Check this tweetorial by the one and only @BalissMichelle
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
Check this tweetorial by the one and only @BalissMichelle
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
RT @AmCollegeGastro: 1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PP…
1/ ⏰ for another #EBGI Tweetorial🧵 w/ @BalissMichelle! #ICYMI series “Surgery is Superior to Medical Therapy for PPI-refractory Heartburn in the Right Patients” 📜Summary https://t.co/K1H0xLF5KJ 📰 @NEJM https://t.co/RL8Ehte7EI 🎧 Summary: https://t.co/1F
RT @AllonKahn: @mjayoushe @SalihSamo @DrMohdZein @MTPapaD 3) Perhaps most importantly - is GERD the problem? Often other diagnoses (add’l f…
@mjayoushe @SalihSamo @DrMohdZein @MTPapaD 3) Perhaps most importantly - is GERD the problem? Often other diagnoses (add’l functional heartburn/reflux hypersensitivity, EoE, dysmotility, etc) - need to explore with objective testing as 👇 https://t.co/aA8
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
Valeu @tadeclinicagem pela recomendação de artigo no Ep 47 de Refluxo!! Resultado que me deixou: 🤯 mais ainda pela discussão, sem dar spoilers haha! 👉 Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/NXancQ
@SultanMahmoodMD @GI_Pearls @GI_Guy @EsophagusDoc @ibdtweets @PerelmansPearls @AmCollegeGastro @ASGEendoscopy @AllonKahn @magnushallandMD @SalihSamo @AfrinKamalMD @ZubairMalik_MD There have been studies that show improvement of symptoms after fundoplocatio
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn https://t.co/wO2TFiVJhN https://t.co/htMhx0YLdn
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @mqkMD: ⚕️RCT: Nissen vs Medical Rx for Refractory GER - https://t.co/m8SU848GyE Surgery superior to Medical Rx (PPI + Baclofen +/- TCA)…
@magnushallandMD @BMoshiree @AmCollegeGastro @AllonKahn That’s a great slide. So important to seperate refractory GERD from non-GERD. That’s what I like about this @nejm paper. Truly refractory GERD is a minority after rigorous evaluation. https://t.co/NN
⚕️RCT: Nissen vs Medical Rx for Refractory GER - https://t.co/m8SU848GyE Surgery superior to Medical Rx (PPI + Baclofen +/- TCA) and Control (PPI + placebo) in pts w/ truly PPI-refractory and reflux-related heartburn https://t.co/ItLqMHSVVV
RT @RefluxHealthUK: "The primary outcome was treatment success, defined as a decrease of 50% or more in the Gastroesophageal Reflux Disease…
"The primary outcome was treatment success, defined as a decrease of 50% or more in the Gastroesophageal Reflux Disease (GERD)–Health Related Quality of Life score (range, 0 to 50, with higher scores indicating worse symptoms) at 1 year." https://t.co/6FLD
RT @RefluxHealthUK: "Heartburn that persists despite proton-pump inhibitor (PPI) treatment is a frequent clinical problem with multiple pot…
"Heartburn that persists despite proton-pump inhibitor (PPI) treatment is a frequent clinical problem with multiple potential causes." https://t.co/6FLDcMqpvv https://t.co/tKs5Ef4YHH
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
Such a great discussion/critical review of @NEJM published study of medical vs surgical tx for refractory heartburn! Follow along for journal club @GiJournal ! 👇🏻
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @DrMohdZein: 🗣️Treatments for PPI-refractory heartburn are of unproven efficacy and focus on controlling gastroesophageal reflux with re…
RT @GiJournal: For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for R…
RT @AllonKahn: Looking forward to tonight’s journal club! Honored to team up with @AfrinKamalMD and @DrMohdZein to discuss one of the most…
RT @AllonKahn: Looking forward to tonight’s journal club! Honored to team up with @AfrinKamalMD and @DrMohdZein to discuss one of the most…
Looking forward to tonight’s journal club! Honored to team up with @AfrinKamalMD and @DrMohdZein to discuss one of the most common issues we face every day in practice. #GIJournalClub
RT @DrMohdZein: ⛔️Mark your Calendars ↪️Wednesday 9pm↩️ . 📍I will be discussing: ☑️Surgery vs ☑️Medical tx for Refractory GERD With Exp…
RT @DrMohdZein: ⛔️Mark your Calendars ↪️Wednesday 9pm↩️ . 📍I will be discussing: ☑️Surgery vs ☑️Medical tx for Refractory GERD With Exp…
RT @GiJournal: For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for R…
RT @GiJournal: For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for R…
RT @GiJournal: For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for R…
RT @GiJournal: For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for R…
RT @DrMohdZein: ⛔️Mark your Calendars ↪️Wednesday 9pm↩️ . 📍I will be discussing: ☑️Surgery vs ☑️Medical tx for Refractory GERD With Exp…
RT @GiJournal: For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for R…
RT @GiJournal: For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for R…
For this week's #GIjournalclub 2/12/20 @9pm EST we will be discussing @NEJM Oct 2019 RCT of Medical versus Surgical Rx for Refractory Heartburn with expert commentary from the dynamic @AllonKahn. The discussion will moderated by @DrMohdZein #gitwitter http
Se discuten los resultados del estudio de Spechler y Cols, comparando la eficacia de tratamiento quirúrgico vs médico en el manejo del #ERGE refractario, la importancia del tratamiento médico adecuado y medidas generales antireflujo.#MedTwitter 👉https://t
"The incidence of treatment success with surgery (18 of 27 patients, 67%) was significantly superior to that with active medical treatment (7 of 25 patients, 28%; P=0.007) or control medical treatment (3 of 26 patients, 12%; P<0.001)." https://t.co/6FLD
8️⃣Different toxins lead to different complications of chronic pancreatitis https://t.co/Yhbj5UrNtD #AJG #Pancreatitis 9️⃣RCT medical vs surgical therapy for refractory GERD https://t.co/Y1kXy1Pee8 @NEJM #GERD 4/5
Randomized trial finds surgery superior to medical treatment for PPI-refractory and reflux-related #heartburn https://t.co/UHD1MnmAYX https://t.co/ypWf6DYY0n
RT @EdwardLoftus2: Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/wjDPsD50ev
RT @RefluxHealthUK: "If patients were found to have reflux-related heartburn, we randomly assigned them to receive surgical treatment...act…
"If patients were found to have reflux-related heartburn, we randomly assigned them to receive surgical treatment...active medical treatment...or control medical treatment..." https://t.co/6FLDcMqpvv https://t.co/EXUC3BVXwt
Surgery is helpful for select group of patients. Must read for all #GI. Wonder where endoscopic reflux procedures play into this..#medtwitter #PPI. Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/4dQz6
RT @KristleLynchMD: My main take away? In referrals for “PPI-refractory heartburn,” systematic workup revealed very few patients with true…
My main take away? In referrals for “PPI-refractory heartburn,” systematic workup revealed very few patients with true #PPI-refractory *reflux-related* #heartburn. 🔰🔰🔰 #RandomizedTrial of Medical vs Surgical Treatment for #RefractoryHeartburn | NEJM http
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/2ruxmbxnKX #visualabstract
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
"The primary outcome was treatment success, defined as a decrease of 50% or more in the Gastroesophageal Reflux Disease (GERD)–Health Related Quality of Life score (range, 0 to 50, with higher scores indicating worse symptoms) at 1 year." https://t.co/6FLD
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 @SurgeryScience: Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/q3UI0xJa0T
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn | NEJM https://t.co/q3UI0xJa0T
Very interesting work! Surgical treatment superior to Medical management for control of refractory GERD
Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn Stuart J. Spechler, M.D., John G. Hunter, M.D., Karen M. Jones, M.S., Robert Lee, M.D., Brian R. Smith, M.D., Hiroshi Mashimo,... https://t.co/KUGcjjOkDR
RT @ANMSociety: In a RCT, patients with refractory #GERD were randomized to receive fundoplication, omeprazole plus baclofen with desiprami…
In a RCT, patients with refractory #GERD were randomized to receive fundoplication, omeprazole plus baclofen with desipramine based on symptoms (Active Tx), or omeprazole + placebo (Control). Tx success was significantly better with surgery vs other Tx. ht
"Heartburn that persists despite proton-pump inhibitor (PPI) treatment is a frequent clinical problem with multiple potential causes." https://t.co/6FLDcMqpvv https://t.co/hjd0MBDBzH
PPI-refractory heartburn: Is medical or surgical treatment superior? Via @NEJM https://t.co/99yCzezY9J https://t.co/cJ2dvxMH3F
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 @gi_uci: Surgery for Patients with Medical Refractory GERD Co-Authored by our own Dr. Brian Smith! #NEJM https://t.co/avvMgRq4vH
Surgery for Patients with Medical Refractory GERD Co-Authored by our own Dr. Brian Smith! #NEJM https://t.co/avvMgRq4vH
"The primary outcome was treatment success, defined as a decrease of 50% or more in the Gastroesophageal Reflux Disease (GERD)–Health Related Quality of Life score (range, 0 to 50, with higher scores indicating worse symptoms) at 1 year." https://t.co/6FLD
The huge problem here is the most people doesn't want the surgery, and the principal reason is because they are scared about or just because they don't have the money to do it.
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/wZBXI8oQZd
RT @KerryDunbarMD: Great #VisualAbstract of our #VA study of patients with persistent heartburn on PPI. In patients with abnormal pH impeda…
Great #VisualAbstract of our #VA study of patients with persistent heartburn on PPI. In patients with abnormal pH impedance testing on PPI, surgery was more effective than additional medical therapy.
RT @IlindelatorreMD: Tratamiento médico versus quirúrgico para la acidez estomacal refractaria | NEJM https://t.co/7rBnlEScVq https://t.co…
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/5IdgoMENEO
"Among patients referred to VA gastroenterology clinics for PPI-refractory heartburn, systematic workup revealed truly PPI-refractory and reflux-related heartburn in a minority of patients...surgery was superior to medical treatment." https://t.co/6FLDcMqp
RT @IlindelatorreMD: Tratamiento médico versus quirúrgico para la acidez estomacal refractaria | NEJM https://t.co/7rBnlEScVq https://t.co…
RT @chemaremes: A trial more than expected for #refractory #GERD. This will be a clasic paper https://t.co/kHmvLazQMa
RT @chemaremes: A trial more than expected for #refractory #GERD. This will be a clasic paper https://t.co/kHmvLazQMa
A trial more than expected for #refractory #GERD. This will be a clasic paper https://t.co/kHmvLazQMa
What if we treated the cause instead of physically changing the anatomy?
RT @NEJM: #VisualAbstract: Medical vs. Surgical Treatment for Refractory Heartburn. https://t.co/OGCsAr9YsM https://t.co/5IdgoMENEO
We're excited and proud for #VANorthTexas Drs. Dunbar, Melton and Pham. This team and others from across #VA were published in the @NEJM for their work - leading the way in the care of our Nation's #Veterans. Congratulations team.
Reflux gastro-œsophagiens résistants aux IPP : seule une minorité en sont vraiment et revendiquent de la chirurgie https://t.co/zS2KwqYNVn