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    For patients with prominent regurgitation, viagra uk lloyds inadequately controlled with PPIs, surgery should be considered. Both techniques are highly effective in controlling reflux symptoms and healing erosive esophagitis. Rarely. Standard clinical therapy is pharmacologic and surgical. A higher failure rate for laparoscopic fundoplication has been recognized in patients with Barrett’s esophagus compared with those with non-Barrett reflux.

    Surgery is an option, for younger patients who are noncompliant or do not wish to take daily medication. 38 CHAPTER 8  BARRETT’S ESOPHAGUS 29 GOALS OF THERAPY FOR BARRETT’s ESOPHAGUS • Control reflux symptoms • Heal erosive esophagitis • Prevent adenocarcinoma 9. Does Barrett’s esophagus reverse with medical therapy?.

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