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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Does Nissen Fundoplication Affect the Magenstrasse

Does Nissen Fundoplication Affect the Magenstrasse?

In his seminal paper, “A Stomach Road or Magenstrasse for Gastric Emptying”, James Brasseur concludes that the coordination of contractile waves between gastric fundus and antrum determines the magnitude of the Magenstrasse. Surgical manipulation of gastric fundus in the form of Nissen fundoplication alters antral...

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