Format:
1 Online-Ressource (180 pages)
ISBN:
9788132208464
Content:
In the face of higher obesity rates, increasing morbidity and health costs, this book fills a gap in knowledge of incidence of GERD among Asian populations, highlighting the factors of epidemiology, diagnosis and management from the Western perspective
Content:
Intro -- Preface -- Contents -- Contributors -- Abbreviations -- 1: Defining GERD in Asia: Different from the West? -- Introduction -- Montreal Classification -- Esophageal Syndromes -- Symptomatic Reflux Syndromes -- Syndromes with Esophageal Injury -- Extraesophageal Syndromes -- ACG Guidelines -- Defining GERD in ASIA: Limitation of Montreal Classification and Other Western Definitions -- Symptomatology -- Role of Endoscopy and Other Reflux Investigations -- References -- 2: Epidemiology of Gastroesophageal Reflux in Asia -- Introduction -- History of GERD in Asia -- Measuring the Burden of GERD -- Prevalence of GERD: Symptom-Based Studies -- Eastern Asia (China, Japan, Korea, and Taiwan) -- Southeastern Asia (Malaysia, Singapore, and Thailand) -- South Central Asia (India, Iran, Pakistan, and Bangladesh) -- West Asia (Israel and Turkey) -- Prevalence of Esophagitis -- Eastern Asia (China, Japan, Korea, and Taiwan) -- Southeastern Asia (Malaysia, Singapore, and Thailand) -- Western Asia (Israel and Turkey) -- Prevalence of Extra-Esophageal Syndromes -- Prevalence of Barrett's Esophagus -- Changing GERD Trends in Asia -- Why is GERD Increasing in Asia? -- Summary -- References -- 3: Reasons for the Rise of Gastroesophageal Reflux Disease in Asia -- Introduction -- Environmental Causes -- Change in Diet -- Cigarette Smoking and Alcohol Consumption -- Physical Activity -- An Increase in Body Mass Index and Obesity -- Disappearing H. pylori Infection -- Host Factors -- Ethnic Differences: Genetic Predisposition? -- Conclusion -- References -- 4: Pathophysiology and Acid Production Different in Asians: Different from the Western People? -- Introduction -- Differences in Clinical Characteristics of GERD Between East and West -- Epidemiology: Prevalence of GERD -- Symptom-Based Prevalence of GERD -- Endoscopy-Based Prevalence of GERD
Content:
Causes of GERD -- Aggressive Factors -- Defensive Factors -- Gastric Acid and GERD -- Helicobacter pylori and GERD -- Summary -- References -- 5: Diagnosis of GERD: Clinical, pH, and Impedance-What Is the Best Approach? -- Introduction -- Issues and Controversies Surrounding Symptom-Based Diagnosis of GERD -- The Utility of a Medical Questionnaire in GERD Diagnosis -- The PPI Test -- GERD Diagnosis Using pH Monitoring -- Combined Multichannel Intraluminal Impedance and pH (MII-pH) Monitoring -- Conclusions -- References -- 6: Role of Endoscopy and Novel Imaging in GERD -- Introduction -- Indications for Endoscopy in GERD -- Indications for Endoscopy in Patients with GERD -- Endoscopy for Diagnosis and Grading of Severity of GERD -- Role of Newer Imaging Technologies in GERD and Complications -- High-Resolution Magnification Endoscopy (HRME) -- Chromoendoscopy -- Digital Chromoendoscopy (NBI/i-scan/FICE) -- NBI of the Normal Esophagus -- NBI Endoscopy in GERD -- Feasibility of FICE/I-Scan for the Diagnosis of GERD -- NBI Endoscopy in Barrett's Esophagus -- NBI vs. WLE in BE -- Autofluorescence Imaging -- Autofluorescence Endoscopy -- LIFS -- Endoscopic Trimodal Imaging (ETMI) -- Optical Biopsy (Confocal Endomicroscopy) -- Newer Imaging Advancements [66, 67] -- Endoscopic Therapies for GERD -- Indication for Endoscopic Therapy -- Endoscopic Devices for Treatment of GERD -- Conclusion -- References -- 7: Medical Treatment for GERD in Asia -- Introduction -- Lifestyle and Dietary Modification -- Pharmacologic Agents -- Proton Pump Inhibitors (PPIs) -- Histamine 2 Receptor Antagonists (H2RAs) -- Antacids -- Sodium Alginate -- Prokinetics -- Baclofen -- Other Treatment Options -- Clinical Practice for GERD in ASIA: Recommendations -- Specific Pharmacologic Therapy -- Initial Treatment -- Maintenance of Healing -- NERD -- Initial Treatment
Content:
Maintenance Treatment -- No Response to Treatment -- Extraesophageal Treatment -- References -- 8: Investigations and Treatment of PPI Refractory GERD -- Introduction -- Definition of PPI Failure (Refractory GERD) -- PPI Failure and GERD Phenotypes -- Erosive Esophagitis and PPI Failure -- Barrett's Esophagus and PPI Failure -- Nonerosive Reflux Disease (NERD) and PPI Failure -- Non-cardiac Chest Pain (NCCP) and PPI Failure -- Extraesophageal Syndromes and PPI Failure -- Mechanisms of PPI Failure -- Non-reflux-Related Causes of PPI Failure -- Functional Heartburn -- Reflux-Related Causes of PPI Failure -- Compliance and Improper Dosing -- Residual Acid Reflux -- Weakly Acidic or Non-acid Reflux -- Acid Pocket -- Esophageal Hypersensitivity -- Nocturnal Acid Breakthrough (NAB) -- Bile Acid Reflux -- Impaired Gastric Emptying -- Psychological Comorbidity -- Concomitant Functional Gastrointestinal Disease -- Diagnostic Evaluation -- History and Physical Examination -- Upper GI Endoscopy -- Reflux Monitoring -- Treatment of Refractory GERD -- Optimizing PPI Treatment -- Treatment of Residual Acid Reflux -- Lifestyle Modifications -- Treatment Targeted at Residual Acidic Reflux -- Treatment Used for Gastroesophageal Motility -- Targeting the Acid Pocket -- Treatment of Esophageal Hypersensitivity -- Endoscopic Therapy -- Surgical Treatment -- Conclusion -- References -- 9: Surgical Treatment for Gastroesophageal Reflux Disease (GERD) in Asia -- Introduction -- Diagnostic Challenges -- Challenges in Surgical Management -- Surgical Outcome in Asia-Pacific Region -- Learning Curve and Training in Asian Countries -- Conclusion -- References -- 10: Barrett's Esophagus in the Asian Population -- Introduction -- Prevalence of Barrett's Esophagus in Asia -- Is Barrett's Esophagus an Under-Recognized Disease in the East?
Content:
Can Advanced Imaging Technologies and Biomarkers Improve Diagnosis of Barrett's Esophagus, Especially in the East? -- Is Barrett's Esophagus Rising in Prevalence in the East? -- Barrett's Esophagus Is Mostly Short Segment in Asian Populations -- Risk Factors for Barrett's Esophagus -- Genetic Predisposition to Barrett's Esophagus -- Advancing Age Is a Common Risk Factor -- Gender: More Males than Females Develop Barrett's Esophagus -- Gastroesophageal Reflux Disease and Reflux Esophagitis Are Primary Risk Factors -- Hiatal Hernia: Another Major Risk Factor -- Little Evidence of Obesity as a Risk for Barrett's Esophagus -- Controversial Effects of Tobacco and Alcohol Consumption -- Impact of Helicobacter pylori Infection -- Malignant Transformation of Barrett's Esophagus -- Management of Barrett's Esophagus and Its Associated Neoplasia in Asia -- Conclusion -- References -- 11: Extra-esophageal GERD: Myth or Reality? -- Epidemiology -- Pathophysiology -- Clinical Manifestations of Extra-esophageal GERD -- Chronic Cough -- Noncardiac Chest Pain (NCCP) -- Bronchial Asthma -- Laryngopharyngeal Symptoms -- Oral Manifestations -- Sleep Disturbances and GERD -- Other ENT Manifestations of GERD -- Diagnosis and Treatment of Extra-esophageal GERD -- Laryngopharyngeal Reflux (LPR) -- Reflux Symptom Index (RSI), Reflux Finding Score (RFS), and Laryngoscopy -- Pepsin Test -- Endoscopy -- Ambulatory pH Monitoring -- Drug Therapy -- Proton Pump Inhibitors (PPIs) -- H2 Receptor Antagonists (H2RAs) -- Surgical Fundoplication -- Chronic Cough -- Diagnostic Tests -- Management -- Reflux Asthma -- Diagnostic Tests -- Management -- Summary -- References -- 12: Terminology and Cultural Issues in the Diagnosis and Treatment of GERD in Asia -- Introduction -- GERD Prevalence in Asia -- Different Prevalence Rates in GERD Symptoms Due to Differences in Terminology?
Content:
Why the Rising Prevalence Rates? -- Factors Impacting Pathophysiology -- Factors Impacting Treatment -- Cultural Differences in Treatment: The Use of Complementary and Alternative Medicines -- Yoga -- Magnet Therapy -- Acupuncture -- Botanicals (Herbs) -- Melatonin -- Milk -- Conclusion -- References -- 13: Future of GERD Research in Asia -- Introduction -- Status of Research on GERD in Asia -- Challenges and Future Directions to GERD Research in Asia -- Healthcare Disparities -- Language Barriers -- Economic Inequalities -- Extraesophageal GERD Symptoms and Complications -- Efficacy of Therapy for GERD -- Conclusion -- Directions for Future Research on GERD in Asia -- References
Additional Edition:
9788132208457
Additional Edition:
Print version Sharma, Prateek The Rise of Acid Reflux in Asia New Delhi : Springer,c2017 9788132208457
Language:
English
URL:
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