Sameer Zar - The Royal Marsden

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38 The Royal Marsden PPI Dosing in Reflux Disease and Barrett’s Oesophagus If the patient requires a PPI to be given in doses higher than recommended, they are best given: 1. Double dose once a day before breakfast 2. Double dose once a day before dinner 3. Before breakfast and before dinner 4. Before breakfast and at bedtime
39 The Royal Marsden Twice Daily dosing of PPI – Twice daily dosing of PPI has superior intra-gastric pH control over 24hrs compared to double dose taken before breakfast or before dinner alone Kuo et al; Am J Gastro 1996 – Nocturnal intragastric pH control is superior with second dose taken before dinner vs. before bedtime Hatlebackk et al; A P & Th 1998
Page 1 and 2: The Royal Marsden Barrett’s Oesop
Page 3 and 4: 3 The Royal Marsden Diagnosis of Ba
Page 5 and 6: 5 The Royal Marsden Clinical Featur
Page 7 and 8: 7 The Royal Marsden Risk Factors As
Page 9 and 10: 9 The Royal Marsden Change Presenta
Page 11 and 12: The Royal Marsden Change Presentati
Page 17 and 18: 17 The Royal Marsden Surveillance o
Page 19 and 20: 19 The Royal Marsden Risk Factors A
Page 21 and 22: 21 The Royal Marsden Screening For
Page 23 and 24: 23 The Royal Marsden Change Present
Page 25 and 26: 25 The Royal Marsden Screening and
Page 27 and 28: How to Improve Screening for Barret
Page 31 and 32: 31 The Royal Marsden Managing Cance
Page 35 and 36: 35 The Royal Marsden Cancer Risk in
Page 37: 37 The Royal Marsden Management of
Page 41 and 42: 41 The Royal Marsden Management of
Page 43 and 44: 43 The Royal Marsden Management opt
Page 49 and 50: 49 The Royal Marsden Endoscopic Muc
Page 53 and 54: 53 The Royal Marsden ESD for Barret
Page 55 and 56: 55 The Royal Marsden Endotherapy in
Page 57 and 58: The Royal Marsden Primary Preventio
Page 59: The Royal Marsden Conclusion - Scre

Sameer Zar - The Royal Marsden

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