Further evidence can be found in these two articles looking at the benefit of a high soluble fibre diet and avoidance of known dietary triggers in helping settle acid-reflux symptoms.
Anyone concerned about the side effects of longterm PPIs should flick through this Review article from 2017 and the BSG’s Positional Statement.
I have no shares in this company, but I am often asked about anti-reflux wedge pillows. This is a link to a well established company that supplies the NHS, and can be found on Amazon.
Findings Surveillance Intestinal metaplasia of the cardia Not recommended Irregular Z line Not recommended <3cm without IM Repeat gastroscopy with quadrantic biopsies – if still no IM, discharge from surveillance <3cm with IM Every 3-5 years (agreed 4 yearly L&D) >3cm Every 2-3 years (agreed 2 yearly L&D)
Reflux Reflux symptoms can be experienced secondary to a range of problems that are not always acid related. Even in those related to acid reflux the OGD can be macroscopically normal in 85%. 15-30% of case are due to true gastro-oesophageal reflux disease, >70% is related to non erosive reflux disease (NERD) A recent trial by E. Savarino has helped…