Most heartburn patients can skip upper endoscopy, guidelines say | Redux

Most heartburn patients can skip upper endoscopy, guidelines say

Stéphanie Richard et Alexandre Korber du /tmp/lab de Vitry-sur-Seine by yannick_vernet
License (according to Flickr): Attribution License

Excerpt:

In new guidelines released Dec. 3, the medical society says most patients who visit a doctor with heartburn or symptoms of gastroesophageal reflux disease (GERD) should skip the procedure unless they are experiencing serious symptoms like bleeding. Heartburn? 9 reasons not to ignore symptoms "The procedure is not an appropriate first step for most patients with heartburn," Dr. David L. Bronson, president of the American College of Physicians, said in a written statement. GERD occurs when the stomach contents leak backwards into the esophagus, causing irritation, heartburn, nausea and a feeling that food is stuck in the chest. About 40 percent of American adults experience symptoms of reflux disease, many turning to over-the-counter and prescription medications. An upper endoscopy is a thin flexible tube with a tiny camera on the end that's used by doctors to visually examine the upper portion of the digestive system, the Mayo Clinic says.

Keywords:

heartburn upper endoscopy patients symptoms new guidelines reflux disease upper endoscopies inhibitor heartburn medications GERD symptoms lifestyle changes procedure gastroesophageal reflux disease David L. Bronson unnecessary medical tests additional unnecessary interventions Clinical Guidelines Committee Dr. Jon LaPook Dr. Lauren Gerson stomach upper portion unnecessary sedation stomach contents experience symptoms medical society written statement unnecessary costs cancer appropriate first step American College stomach acid prescription medications small intestine American adults Mayo Clinic manage treatments hiatal hernia medical procedures look-alike conditions gastrointestinal tract rare complications recurrent vomiting small risks tiny camera preventable harms esophageal lining tissue infection weight loss flexible tube Internal Medicine Stanford University

People:

Dr. David L. Bronson

Overall Sentiment: -0.229577

Relevance: 0.93556

Sentiment	Quote
-0.163585	"Inappropriate use of upper endoscopy does not improve the health of patients, exposes them to preventable harms, may lead to additional unnecessary interventions, and results in unnecessary costs with no benefit," said Bronson.
Sentiment Stats:	Number of Quotes: 1 Aggregate Sentiment: -0.163585 Mean: -0.163585 Standard Deviation: 1.4142135623731

Mayo

Overall Sentiment: 0.132151

Relevance: 0.475556

Dr. Lauren Gerson

Overall Sentiment: 0

Relevance: 0.456379

Dr. Jon LaPook

Overall Sentiment: 0.121969

Relevance: 0.456003

Barrett

Overall Sentiment: -0.209738

Relevance: 0.422201

Key:

• Aggregate Sentiment is meant to be an indicator of an individual's overall sentiment.
• The Mean is meant to be an indicator of an individual's average comment sentiment.
• The Standard Deviation, when there are enough quotes, will indicate an individual's consistency of sentiment (i.e. a Standard Deviation of 0 would mean they were very consistent in their sentiment and 1 would mean they were very inconsistent).

Note that quote stats are likely to be meaningless beyond the aggregate score due to the tiny sample size. However, they are always provided just in case you find something useful there.

Additional Info:

Organization: GERD

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Relevance: 0.746842

Organization: College's Clinical Guidelines Committee

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Organization: American College of Physicians

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Relevance: 0.533112

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Organization: Stanford University

Overall Sentiment: 0

Relevance: 0.434471

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Company: Reuters

Overall Sentiment: 0.103535

Relevance: 0.463229

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Facility: Mayo Clinic

Overall Sentiment: 0.163381

Relevance: 0.516741

HealthCondition: gastroesophageal reflux disease

Overall Sentiment: 0

Relevance: 0.860091

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Relevance: 0.783481

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HealthCondition: hernia

Overall Sentiment: -0.267387

Relevance: 0.465877

Disambiguation: DiseaseOrMedicalCondition | RiskFactor | DiseaseReferences:

• Hiatus hernia: dbpedia
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HealthCondition: anemia

Overall Sentiment: -0.745775

Relevance: 0.457173

Disambiguation: DiseaseOrMedicalCondition | Disease | MedicalTreatmentReferences:

• Porphyria: dbpedia
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HealthCondition: vomiting

Overall Sentiment: -0.58493

Relevance: 0.407044

URL Meta Tags Details

Source Site: Most heartburn patients can skip upper endoscopy, guidelines say

Site Provided Desc:

Giving procedure to all patients with GERD may result in unnecessary costs, complications

Provided Keywords:

• american college of physicians
• barrett's esophagus
• cancer
• dpst acidrefluxcenter
• gastroesophageal reflux disease
• gerd
• heartburn
• upper endoscopy

Site Provided Title:

Most heartburn patients can skip upper endoscopy, guidelines say

Data Sources

Full Content: http://feeds.cbsnews.com/~r/CBSNewsHealth/~3/rvZdBt4nNwM/

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