Acid Reflux Disease GERD Treatment Options Explained By J S Rajkumar Lifeline s
Hello friends this is Rajkumar from lifeline s and I am going to be speaking to you today on treatment especially surgical treatment options for a very common problem faced by millions of people. Acid Reflux Disease otherwise known as GERD, gastroesophageal reflux disease. in the previous segment we discussed about the cause and today in this segment we will discuss about treatment. To know more about diseases like Gerd, acid reflux, stomach cancer, obesity We would like you to subscribe to this channel to understand about yourself and about the various treatment options available. Let’s discuss today about surgical treatment options for Gerd. Does everyone with a heartburn require to be cartered to the operation table?.
Nope, we tend to evaluate patients based on how long they have had their acid peptic disease or Gerd and usually people who have suffered for at least two years, who have responded to PPI’s or proton pump inhibitors like omeprazole, rabeprazole etc responded and then bounced back again with the heartburn and all of these patients are subjected to a 24 hour period study. What is this study ? It is a special study wherein we pass some fine acid sensors through a tube with the size of a hair right into the gullet and stomach. These acid sensors collect data, valuable data for us over a 24 hour period so that we are able to understand One, how much of acid is being secreted. Two, how much of it is coming backwards. Three, whether it is accompanied by bile so that we can have what’s called a combined acid and alkaline reflux. Four, whether the patient has significant symptoms at night the nocturnal refluxes or throughout the day etc.
Based on this data we calculate and we are able to evaluate which patient requires laparoscopic surgical treatment. Let’s talk about how we do this. Four or five small holes and even that nowadays we can do that even through a single hole so called single port surgery. We evaluate a patient’s fitness for surgery then a laparoscopic surgical option is performed wherein we tighten up the muscle called the diphgram through which the gullet passes so that there is a snug fit of the gullet. Then we take the stomach and wrap it around the gullet in such a way that the acid and the alkali are not permitted to come back upwards. The operations sounds complicated but is a fairly simple procedure and it takes me all of 25 or 30 minutes to perform. Patients are usually home in a day or two and over the last 15 years we must have performed close to 2000 such operations.
Of whom more than 95% are permanently cured of their acid reflux symptoms. A small proportion come back requiring tablets to keep the acid under control. But overall this is an operation that rids the patient’s severe heartburn symptoms, prevents the patients from having vomiting by preventing a barrett’s changes on the gullet its actually an operation that will prevent esophageal cancer, prevents them from having laryngeal cancer and all the other complications that we earlier spoke about. Thus in a well chosen patient with acid reflux disease or Gerd, if he is Evaluated and assessed pre operatively in a proper manner, he can have a fabulous relief of his symptoms and possibly prevent cancer by an excellent laparoscopic or minimally invasive surgical option.
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Nexium Prilosec Dangerous Habit Forming Sid Wolfe
David Pakman: Sid Wolfe is joining us, Director of Public Citizen’s Health Research Group. Wolfe, I was looking at your petition that you sent to the FDA with a warning on Nexium, Prylosec, and other of these proton pump inhibitors which you say are overprescribed and should be carrying a much stronger warning about the risk of longterm dependence. Tell me a little bit about how you came across this. How long have you been studying this? Sid Wolfe: Back now something like 17 years ago, a very wellrespected Norwegian gastrointerologist, people who take care of diseases such as the ones that these drugs are being used, discovered that you can get habituated, or that these drugs can be habitforming.
What happens is that when you take these drugs, it turns off the acid, obviously, that’s what the purpose is, to turn off acid. But in turning off the acid, the body, in a sense, gets frustrated and starts making more tissue in the stomach. But the tissue really can’t produce any acid, so it’s held in suspense or in suspended animation. But as soon as you stop taking the drug, this extra tissue that you didn’t have before starts producing much more acid than you had before. So although this was first observed 17 years ago, people didn’t pay any attention to it. More recently, a couple years ago, studies show that perfectly normal, healthy people,.
Like you and I, David, and others, if you put them on these drugs, they didn’t have any kind of stomach problems at all, put them on the drugs for a month or so, and when you stop the drugs, they start having symptoms of acid. In other words, you’re causing disease in people who didn’t have any before. Right now, the FDA does not have a black box warning, which is the strongest warning that you can have on a drug, for anything at all. In fact, there’s no mention anywhere in the FDAapproved labeling about the fact that these drugs can cause dependence. So what we’re asking the FDA to do is to put a black box warning, which would be noticed, hopefully,.
By s, and they would inform their patients and make sure patients know about this. David: I want to go back a little bit and talk about the overprescription, because overprescription of drugs is something we’ve talked about a lot on this program.And there’s a number of different reasons why something could be overprescribed, and the one I want to ask you about, because I regularly see Prilosec commercials on television, when we look at the effect of advertising, is this the type of medication that you believe people are going in to their s and asking for by name, or maybe reporting symptoms in a way that they are seeing on television? Is that the source? Is the source s that don’t know about these risks? Where do.
You see it? Wolfe: The source is all of the above. The fact that the FDA itself, another source of the problem is the FDA, because the FDA has known for a while about this dependence problem. I mean, if you’re taking the drug and you shouldn’t be, and someone says well, you didn’t really have that disease in the first place, acid reflux, for example, and you try and stop, it’s difficult, because the drugs cause dependence. If s don’t know that the drugs can cause dependence, the patients don’t know that, and the FDA, although they know it, hasn’t forced it to be put on the labels and inform.
Patients about it, that’s a source of the problem. There’s no question that everything that causes some pain in the stomach is not acid reflux. And we and others estimate that over half of the prescriptions for these drugs are for people that don’t have the diseases for which it’s been shown that the drugs work. In some cases. David: That’s incredible. I mean, half sounds incredibly high. What conditions could those 50% have as opposed to acid reflux? Wolfe: Well, they can have nervous stomach. Obviously, when people are under stress and.
They get upset, they can have some pain in their stomach. It doesn’t necessarily mean that they have acid reflux, and if they don’t have acid reflux, these drugs can’t be of any benefit. And once they start taking them, they can be of harm, because they literally can cause the acid reflux that these people didn’t have before. s not carefully reading published medical journal articles and spending more time talking to the drug salespeople who come to their office and provide free lunch to their office staff, and there’s a lot of influence peddled that influences s’ prescribing practices by drug companies, and s respond to it.