These goals are easy to establish, but efficacy of the therapies and scientific data supporting the obtainability of these goals decrease as we progress from controlling symptoms to preventing complications. Furthermore, these goals are set against a complex background GERD is a chronic condition that tends to wax and wane in intensity and relapses are common.From the patient’s viewpoint, relief of symptoms is the most important reason for seeking medical attention. Fortunately, the currently available medical and surgical therapies should allow this to be accomplished in all patients both acutely and long term.
Holiday therapy (3 4 days out of the week) does not seem to be effective.Although it is logical and physiologically sensible, little data is available showing that aggressive medical therapy prevents the development of complicated GERD. Furthermore, many of our patients have well established complicated disease at the time of presentation, which may be beyond relief with either medical or surgical treatments.Aggressive medical therapy can heal esophageal ulcers and prevent recurrent bleeding . Recent studies in our laboratory suggest that omeprazole can resolve many peptic strictures associated with esophagitis and keep these patients dysphagia free for up to 6 months .
However, there still can be crashes (most programs can crash) and we still strongly encourage users to turn off automatic generate since it puts a lot of strain on your PC’s processing units. The program tries to draw outside its window).Access violations (don’t know what kind of library or other program it tries to access). For these, the system usually recovers.
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