By rray, 31 December, 2014 Refractory complex strictures d/t GERD: consider intralesional steroids [C/L] (triamcinolone INJ 40 mg in four 1-mL aliquots) in a 4-quadrant pattern in peptic strictures refractory to dilation
By rray, 31 December, 2014 Peptic stricture: continuous PPI tx recommended post dilation to improve dysphagia and ↓ need for repeat dilation [S/M]
By rray, 31 December, 2014 Maintenance PPI tx [S/M] at lowest effective dose, incl. on-demand or intermittent tx [C/L]<sup>28</sup>
By rray, 31 December, 2014 Erosive esophagitis: 8-wk PPI<sup>27</sup> course as tx of choice for sx relief/erosion healing [S/H]
By rray, 31 December, 2014 Surgery w/ experienced surgeon is as effective as medical tx in carefully selected chronic GERD pts [S/H].<sup>29</sup> Referral reasons include: esophagitis refractory to medical tx, desire to d/c medical tx, noncompliance, medical tx side-effects, etc
By rray, 31 December, 2014 Maintenance PPI tx [S/M] at lowest effective dose, incl. on-demand or intermittent tx [C/L]<sup>28</sup>