1 / 23

Welcome!

Welcome!. Esophageal Health, Acid Reflux, Barrett’s and Cancer Philip N Styne, MD AGAF Medical Director Digestive Health Center. Upper GI tract. Function of upper GI anatomy. Esophagus - passes food and fluid from mouth to stomach Stomach - mechanical and enzymatic digestion.

skylar
Download Presentation

Welcome!

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Welcome! • Esophageal Health, • Acid Reflux, Barrett’s and Cancer • Philip N Styne, MD AGAF • Medical Director • Digestive Health Center

  2. Upper GI tract

  3. Function of upper GI anatomy • Esophagus - passes food and fluid from mouth to stomach • Stomach - mechanical and enzymatic digestion

  4. Function of upper GI anatomy • Pancreas & liver - digestive enzymes and detergents • Small intestine - absorbs salts, vitamins, minerals and food

  5. Gastroesophageal Reflux • Abnormal return of food, fluid, acid and digestive enzymes into the esophagus.

  6. Gastroesophageal Reflux • Acid has both digestive and protective role • Lining of the esophagus does not make acid, has no barrier to acid exposure • Lining of stomach makes acid and has its own acid barrier

  7. Gastroesophageal Reflux • Esophagogastric junction three-part system to control reflux of gastric contents into the esophagus

  8. Gastroesophageal Reflux • Reflux results in: • Heartburn • Inflammation • Stricture • Barrett’s Esophagus • Asthma, cough, throat clearing and hoarseness

  9. Lifestyle Changes • Nutrition • What, when & how much? • Diets consisting mainly of green and yellow vegetables • Small meals • Nothing to eat for 3 hours before bedtime

  10. Lifestyle Changes • Diet • Maintaining a healthy weight • Low fat meals • Limited alcohol • No tobacco products

  11. Lifestyle Changes • Walking after evening meal for 20 minutes • Elevation of the head of the bed

  12. Medication • Acid reduction reduces symptoms and esophageal inflammation • Antacids • H2RA • PPI • Prokinetics

  13. Barrett’s Esophagus • Result of reflux • Precursor of Esophageal Cancer • Predictable changes before Cancer • Treatable with endoscopic procedure

  14. Barrett’s Esophagus • Due to chronic reflux: • Risk of cancer • Adenocarcinoma which is associated with Barrett’s is the fastest increasing gastrointestinal cancer.

  15. Esophageal Cancer • Fastest rising rate of all gastrointestinal cancers. • The cancer associated with Barrett’s Esophagus has increased over 400%.

  16. Our Goal: • Prevent cancer morbidity and mortality. • Reduce occurrence and find earlier more curable stage.

  17. Endoscopy • Allows evaluation of the lining of the upper-intestinal tract • Allows for biopsy of the esophagus

  18. Endoscopy

  19. Endoscopy

  20. Endoscopy Acid Reflux Normal Esophagus Barrett’s Esophagus Esophageal Cancer

  21. Ulcers & Itis • Barrier breakers result in inflammation of stomach and duodenum including ulcers • ASA\NSAID\Cox 2 inhibitor have the ability to affect gastric acid barrier • Helicobacter pylori

  22. Ulcers & Itis • Small intestine disease • Celiac sprue, gluten sensitivity • Lactose intolerance • Other carbohydrate malabsorption • Giardia • Bacterial overgrowth

  23. Questions? For more information visit: www.FHDigestive.com Information sheets and priority appointments available.

More Related