Putting Out the Fire: Prevention & Treatment of Acid Reflux & Ulcers. William J. Salyers, Jr., MD, MPH Division Chief/Medical Director KU Wichita gastroenterology Associate Program Director Internal Medicine Residency. Goals. Discuss the causes and treatments of ulcer-related disease.
William J. Salyers, Jr., MD, MPH
Division Chief/Medical Director
KU Wichita gastroenterology
Associate Program Director
Internal Medicine Residency
Discuss the causes and treatments of ulcer-related disease.
Discuss the causes and treatments of GERD.
Review the long-term consequences of GERD.
Review the use of endoscopy in management of ulcers and complications of GERD.
Peptic Ulcer & Ulcers
Ulcers occur when acid eats away the lining of the esophagus, stomach, or small intestine.
Does Stress Cause Ulcers? & Ulcers
Helicobacter Pylori & Ulcers
30 – 40% of the US population is estimated to be infected with HP.
The majority of individuals acquire HP during childhood.
Medications to suppress acid production.
Medications that neutralize acid or protect the stomach lining.
Antibiotics for H. pylori infection.
Endoscopy & Ulcers
Acid reflux & Ulcers
Metal or sour taste in mouth.
Chronic dry cough.
Regurgitation of food or sour liquid.
Lump in the throat.
Connective tissue disease.
High output acid disorders.
Pre-cancerous changes of the esophagus (Barrett’s).
Reversible inflammation & edema
Heartburn often decreases w/ worsening dysphagia.
Dysphagia usually limited to solids.
Barrett’s & Ulcers
Questions? & Ulcers