Dr. Starpoli's Blog

Chronic Heartburn May Raise Odds for Throat Cancer: Study

Posted by Rachel Jones on Jun 19, 2013 11:09:00 AM

HealthDay reports 78% increased risk of cancer in GERD patients, but simple antacids appear to lower the risk, researchers report

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Anthony A. Starpoli, MD | www.starpoli.com

GERD, heartburn, esophageal cancer

Refluxology: The Study of GERD

Posted by Anthony Starpoli on Jul 21, 2012 11:36:00 AM

So, you think you have acid reflux?  What is acid reflux?  Why is it called acid reflux?

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Anthony A. Starpoli, MD | www.starpoli.com

Obesity, GERD, atypical reflux, nonacid reflux, heartburn, EsophyX, incisionless surgery, Barrett's Esophagus

New Surgical Therapy for GERD: The LINX Magnetic Bracelet

Posted by Anthony Starpoli on Apr 23, 2012 9:27:00 AM

A new laparoscopic therapy for reflux has been recently approved for the treat of reflux.  The procedure requires laparoscopic surgery (small incisions in the abdomen) in order to place this new device at the level of the lower esophageal sphincter.  Certain limitations will occur as the result of this procedure as will be discussed.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, hiatal hernia, TIF, LINX, GERD, atypical reflux, heartburn, EsophyX, Barrett's Esophagus

Hybrid GERD Surgery Performed at NYU Langone Medical Center

Posted by Anthony Starpoli on Oct 14, 2011 11:40:00 AM

On September 7th and October 13th, 2011, the first two combined laparoscopic and transoral antireflux procedures were performed at the New York Univerisity Langone Medical Center in New York City.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, hiatal hernia, TIF, fundoplication, GERD, LPR, atypical reflux, heartburn, EsophyX, Barrett's Esophagus

Doctor Radio-SIRIUSXM and NYU Features Dr. Starpoli and TIF

Posted by Anthony Starpoli on Jun 21, 2011 7:47:00 AM


Today Dr. Starpoli will be hosted on the Doctor Radio show to discuss GERD and transoral incisionless fundoplication with EsophyX.  This procedure serves as an alternative to chronic, long-term drug therapy that millions of people world-wide must take to control their reflux.  Given new information on the perils of long-term drug therapy for reflux, antireflux surgery is being more considered every day.

Doctor Radio is a groundbreaking 24/7 national radio channel featuring live,

call-in shows hosted by leading NYU Langone Medical Center doctors from a vast

array of fields including: child psychology and psychiatry; sexual health;

plastic surgery; emergency room medicine; cancer; heart health; women's health;

dermatology; pediatrics; men's health; diet and nutrition; sports medicine;

psychiatry; and more.


SIRIUSXM and NYU have built a state-of-the-art broadcasting studio

in the lobby of the Manhattan-based NYU Langone Medical Center, bringing

listeners right into the middle of the medical world.

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Anthony A. Starpoli, MD | www.starpoli.com

TIF, doctor radio, GERD, atypical reflux, heartburn, EsophyX, Barrett's Esophagus

Long Term Use of PPI Drugs to Treat Heartburn May Deplete Magnesium

Posted by Rachel Jones on Mar 29, 2011 12:05:00 PM

Over the last few years, new studies have been released that indicate that the long-term use of PPI drugs to treat GERD may be detrimental to some patients. Most recently, the FDA warned that long-term use of PPI’s can be linked to magnesium depletion. See below:

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Anthony A. Starpoli, MD | www.starpoli.com

GERD, heartburn, EsophyX

Which wines are better choices if I have acid reflux or GERD?

Posted by Anthony A. Starpoli, MD on Feb 23, 2011 11:35:00 AM
If you have been diagnosed with GERD, you probably have many questions about your diet moving forward. Patients often wonder if they can still eat and drink the foods they enjoy, or if this diagnosis will greatly impact their quality of life. One question that often comes up is if a patient can still drink wine after being diagnosed with reflux. While the answer is basically patient specific, we came across this article which addresses that very question. We hope that you find it helpful.

Which wines are better choices if I have acid reflux?

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, wine, GERD, heartburn

Natural History of Heartburn in an Icelandic Population

Posted by Anthony Starpoli on Feb 8, 2011 1:46:00 AM

Heartburn is a signature symptom of (GERD), which is a cluster of symptoms and signs associated with regurgitation of up to the pharynx and mouth. Patient-based studies of GERD have shown high prevalence and chronicity, particularly in Western societies. GERD is associated with significant health-care utilization and diminished quality of life. Heartburn, coupled with acid regurgitation and painful swallowing are considered to be highly specific for GERD. Very few epidemiological studies have been performed with regard to heartburn, and only one has been population-based. The natural history of GERD or heartburn has received little attention. The pathophysiology of GERD and heartburn is basically unknown.

A research article to be published on February 7, 2011 in the addresses this question. The authors evaluated the natural history of heartburn in the Icelandic population prospectively over a 10-year period, as well as to evaluate different factors which are affected by heartburn both physically and sociodemographically.

The study showed heartburn is a common condition in the population of Iceland. The prevalence is slightly higher than reported elsewhere. Heartburn is a , affecting every fifth person every week. Heartburn subjects with a lower or higher than normal weight were more likely to experience heartburn than subjects of normal weight. Heartburn did not seem to result in less food and beverage consumption, but one out of five heartburn subjects did avoid a specific food or alcohol because of the heartburn. Heartburn had a great impact on daily activities and quality of life. Half of the subjects experienced sleep disturbances because of this condition.

This study creates a database for future studies and hopefully stimulates studies in other countries. Secular prevalence trends and international comparison can contribute towards understanding of the pathophysiology of the disease.

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Anthony A. Starpoli, MD | www.starpoli.com

Reflux, sleep disturbance, GERD, heartburn