{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Ta de Clinicagem","title":"Episódio 47: Refluxo (DRGE) - 4 Clinicagens","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/d3a616b2\"></iframe>","width":"100%","height":180,"duration":3628,"description":"No episódio dessa semana, Pedro, Raphael e Fred trazem as clinicagens de DRGE! Nesse episódio focamos no que precisa ser feito além do Omeprazol, trazendo o que há de evidência e consenso em medidas comportamentais, exames complementares, outras terapias farmacológicos e cirurgia! Minutagem (04:10) Caso exemplo de DRGE\n(05:20) As 4 clinicagens\n(05:40) Medidas Comportamentais\n(17:00) Quando devo pedir exames complementares?\n(19:10) Endoscopia Digestiva Alta\n(26:40) Phmetria\n(31:30) Manometria\n(32:30) Indicações de pHmetria\n(34:25) Biópsia\n(35:40) Além do Omeprazol\n(44:00) Hipersensibilidade e doenças Funcional\n(45:00) Acupuntura e Vonoprazan\n(47:20) Pró cinéticos\n(47:50) Quando encaminhar para cirurgia?\n(53:10) Salves\n(56:40) Desafio Compartilhe o que com a gente o que você achou do episodio! 1- UPTODATE Medical management of gastroesophageal reflux disease in adults. Author:Peter J Kahrilas, MD Jun 2020.\n2- HUNT, Richard et al. World gastroenterology organisation global guidelines: GERD global perspective on gastroesophageal reflux disease. Journal of clinical gastroenterology, v. 51, n. 6, p. 467-478, 2017.\n3- KATZ, Philip O.; GERSON, Lauren B.; VELA, Marcelo F. Guidelines for the diagnosis and management of gastroesophageal reflux disease. American Journal of Gastroenterology, v. 108, n. 3, p. 308-328, 2013.\n4- FUCHS, Karl Hermann et al. EAES recommendations for the management of gastroesophageal reflux disease. Surgical endoscopy, v. 28, n. 6, p. 1753-1773, 2014.\n5- Positive effect of abdominal breathing exercise on gastroesophageal reflux disease: a randomized, controlled study. Eherer AJ, Netolitzky F, Högenauer C, Puschnig G, Hinterleitner TA, Scheidl S, Kraxner W, Krejs GJ, Hoffmann KM. Am J Gastroenterol. 2012 Mar;107(3):372-8. Epub 2011 Dec 06.\n6 - Savarino, Edoardo, et al. \"Advances in the physiological assessment and diagnosis of GERD.\" Nature reviews. Gastroenterology & hepatology 15.5 (2018): 323.\n7 - Katz, Philip O., Lauren B. Gerson, and Marcelo F....","thumbnail_url":"https://img.transistorcdn.com/lqcQlEC1m6aWV5CJqKTqNKKWbLXziZKK97FisF4ZuuE/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lODM1/ZmI0ODIxZjAxM2U1/ZGUwMjhkYTYwNzZi/MGNmNi5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}