PPI Use and Lupus erythematosus

Proton Pump Inhibitors, PPIs, have many serious side effects including early dementia, heart disease and kidney failure. Such adverse events are attributed to endothelial damage and vascular aging. Few weeks ago, a young GERD patient presented to my office with PPI induced subacute cutaneous lupus...

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Are You Contemplating Sleeve Surgery in 2018

Are You Contemplating Sleeve Surgery in 2018?

Eighty percent (80%) of obese patients have acid reflux disease. Weight loss is associated with improvement and sometimes resolution of GERD related symptoms. The most effective weight loss solution, in 2018, remains weight loss surgery. Gastric sleeve surgery is the most commonly performed procedure in...

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Why Is GERD a Progressive Disease?

Gastroesophageal reflux disease is a multifactorial problem that tends to get worse with time. GERD patients start with occasional symptoms like heartburn and food regurgitation once or twice a month. This is the first stage of GERD. Symptoms are effectively controlled by lifestyle changes that...

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Proton Pump Inhibitors Mortality Risk

An open access observational study has been recently published in BMJ about the risk of death among users of proton pump inhibitors, PPIs. The authors used administrative data from the US department of Veterans Affairs. A cohort of 349,312 patients were included. The analysis showed...

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Houston Acid Reflux Revision Surgery

Revision Acid Reflux Surgery

Nissen fundoplication and hiatal hernia repair procedure, when properly performed, is the most reliable, effective and safest treatment for acid reflux disease. The advent of laparoscopy has allowed the reflux surgeon great visualization of the gastro-esophageal anatomy. Consequently, the distal esophagus became more accessible to...

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Hurricane Harvey: Together We Heal

We have witnessed unprecedented flooding and destruction over the past few days. Harvey, a storm of epic proportions, has affected the lives of nearly 5 million Houstonian. In two days, over 50 inches of water were unloaded over the greater Houston area. Many families had...

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Severe GERD after Gastric Bypass Surgery

Roux-en-Y Gastric Bypass procedure is considered the gold standard treatment for GERD in obese patients. The creation of a small gastric pouch diverts most of the acid produced by the stomach away from the distal esophagus. The Roux limb mechanism effectively prevents bile reflux into...

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