259 research outputs found
Caterina Conio o il coraggio del non allineamento
No full textUn ricordo dell'impegno didattico e di ricerca di Caterina Conio, grande studiosa del pensiero indiano (cattedra all'Università di Pisa
Adenocarcinoma in Barrett's esophagus: clinic-endoscopic features of Barrett's esophagus.
No full text
Recenti sviluppi nella sintesi di poli(p-fenilene tereftalammide) in presenza di matrici polimeriche
No full textLe risque d'adenocarcinome sur oesophage de Barrett: resultat d'une etude multicentrique
No full textEfficienza della filtrazione nell'impianto di potabilizzazione Val Noci dell'A.M.G.A. di Genova; Nota I: aspetti chimici e batteriologici
No full textPretreatment endoscopy - Pro & contra : endoscopy is needed before treatment in all patients with gastroesophageal reflux disease
No full textMost current endoscopic guidelines do not recommend the use of routine esophagoscopy in the evaluation of patients with typical symptoms of gastroesophageal reflux disease (GERD), unless alarm features are present. In patients with known reflux esophagitis, esophagoscopy is considered to have no role either in the further management or follow-up. Screening of reflux patients for Barrett's esophagus is not considered to be cost-effective. On the basis of a critical review of the available literature, and of some recent papers in particular, we disagree with these suggestions. We would argue, on the contrary, that a negative esophagoscopy can provide the GERD patient with reassurance, and that esophagoscopy allows targeted therapy to be offered if it is positive for esophagitis. When Barrett's esophagus is diagnosed, it usually leads to a surveillance program being initiated. The potential benefits of endoscopy for the patient's quality of life are probably underestimated when financial issues alone are taken into account. Even if it is true that a large percentage of GERD patients do not have endoscopic abnormalities (those with nonerosive reflux disease), surrogate tests such as the proton-pump inhibitor test or symptom questionnaires do not provide a more accurate diagnosis. We would therefore suggest that, at least in the specialist setting, all patients with suspected GERD should undergo accurate symptom analysis as well as endoscopic evaluation before treatment is started. (copyright) Georg Thieme Verlag KG Stuttgart
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