DDW Day 3

Yesterday was a good day for esophageal research and topics.  I attended a session on GERD pharmacotherapy and GERD diagnosis, and the poster session.  The video blog is (ahem) still uploading…I’ll get that link up here shortly.

The very brief outcomes were:

  • Although some of the new pharmacologic treatments studies, they have not been further pursued in the drug development pipeline
  • Many patients stay ON PPI therapy despite having negative Bravo pH or pH-impedance studies. (This is my argument for NOT doing study off therapy…the patients often remain on therapy even with a negative test, so there was little reason to actually do the test this way)
  • Subsquamous intestinal metaplasia (SSIM; aka buried glands) exist in the native state in Barrett’s esophagus pts in under the native squamous lining.  This is important since we often consider SSIM a result of ablation, but this gives further evidence that it already exists.
Two more full days of another great meeting!
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About Ryan Madanick, MD

I am a gastroenterologist at the University of North Carolina School of Medicine, and the Vice-Chief for education in the Division of GI & Hepatology . I specialize in diseases of the esophagus, with a strong interest in the diagnosis and treatment of patients who have difficult-to-manage esophageal problems such as refractory GERD. I can be followed on Twitter: @RyanMadanickMD (he/him)
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