No episódio dessa semana, Pedro, Raphael e Fred trazem as clinicagens de DRGE! Nesse episódio focamos no que precisa ser feito além do Omeprazol, trazendo o que há de evidência e consenso em medidas comportamentais, exames complementares, outras terapias farmacológicos e cirurgia! Minutagem (04:10) Caso exemplo de DRGE

(05:20) As 4 clinicagens

(05:40) Medidas Comportamentais

(17:00) Quando devo pedir exames complementares?

(19:10) Endoscopia Digestiva Alta

(26:40) Phmetria

(31:30) Manometria

(32:30) Indicações de pHmetria

(34:25) Biópsia

(35:40) Além do Omeprazol

(44:00) Hipersensibilidade e doenças Funcional

(45:00) Acupuntura e Vonoprazan

(47:20) Pró cinéticos

(47:50) Quando encaminhar para cirurgia?

(53:10) Salves

(56:40) Desafio Compartilhe o que com a gente o que você achou do episodio! 1- UPTODATE Medical management of gastroesophageal reflux disease in adults. Author:Peter J Kahrilas, MD Jun 2020.

2- HUNT, Richard et al. World gastroenterology organisation global guidelines: GERD global perspective on gastroesophageal reflux disease. Journal of clinical gastroenterology, v. 51, n. 6, p. 467-478, 2017.

3- KATZ, Philip O.; GERSON, Lauren B.; VELA, Marcelo F. Guidelines for the diagnosis and management of gastroesophageal reflux disease. American Journal of Gastroenterology, v. 108, n. 3, p. 308-328, 2013.

4- FUCHS, Karl Hermann et al. EAES recommendations for the management of gastroesophageal reflux disease. Surgical endoscopy, v. 28, n. 6, p. 1753-1773, 2014.

5- Positive effect of abdominal breathing exercise on gastroesophageal reflux disease: a randomized, controlled study. Eherer AJ, Netolitzky F, Högenauer C, Puschnig G, Hinterleitner TA, Scheidl S, Kraxner W, Krejs GJ, Hoffmann KM. Am J Gastroenterol. 2012 Mar;107(3):372-8. Epub 2011 Dec 06.

6 - Savarino, Edoardo, et al. "Advances in the physiological assessment and diagnosis of GERD." Nature reviews. Gastroenterology & hepatology 15.5 (2018): 323.

7 - Katz, Philip O., Lauren B. Gerson, and Marcelo F. Vela. "Guidelines for the diagnosis and management of gastroesophageal reflux disease." American Journal of Gastroenterology 108.3 (2013): 308-328.

8 - Akdamar, Kemal, et al. "Upper gastrointestinal endoscopy in normal asymptomatic volunteers." Gastrointestinal endoscopy 32.2 (1986): 78-80.

9 - Shaheen, Nicholas J., et al. "Upper endoscopy for gastroesophageal reflux disease: best practice advice from the clinical guidelines committee of the American College of Physicians." Annals of internal medicine 157.11 (2012): 808-816.