Dr. Starpoli's Blog

Reflux and Esophageal Cancer

Posted by Rachel Jones on May 16, 2014 3:44:00 PM

Esophageal cancer is most often caused by either squamous cell carcinoma along the inner lining of the esophagus or by adenocarcinoma, malignant tumors of the gland cells. Adenocarcinoma is occurring more often in patients and is closely linked to acid reflux and reflux related disorders.

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

Reflux, GERD, esophageal cancer, Barrett's Esophagus

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

EsophyX TIF Procedure is Superior to Maximum Dose PPI Therapy

Posted by Anthony Starpoli on May 30, 2013 12:30:00 AM

As reported by Medscape, according to research presented at the Digestive Disease Week meeting, “patients with gastroesophageal reflux disease (GERD) might benefit more from transoral incisionless fundoplication (TIF) than from continued treatment with proton-pump inhibitors (PPIs).” The study’s lead author Karim Trad, MD, said, “In this study, transoral incisionless fundoplication was superior to maximal-dose PPIs in eliminating daily troublesome typical and atypical symptoms in selected patients.” Dr. Trad added that the findings “establish for the first time that, for some patients, the procedure is better than maximal-dose PPI therapy for controlling a range of GERD symptoms.”

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

hiatal hernia, fundoplication, LINX, GERD, atypical reflux, EsophyX, incisionless surgery, 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

FDA Warns: Reflux Drug Therapy & Increased C. difficle Diarrhea

Posted by Anthony Starpoli on Mar 13, 2012 2:51:00 AM

Several news agencies recently reported concerns of the FDA over the increased risk of Clostridium difficle diarrheal illness in patients using acid lowering antireflux drugs in the treatment of gastroesophageal reflux disease (GERD).

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

c. difficile, hiatal hernia, GERD, atypical reflux, EsophyX

Dental Detriments of GERD

Posted by Anthony Starpoli on Mar 13, 2012 2:35:00 AM

A six-month follow up of 12 people with GERD and six others who were not suffering from the condition showed that those with acid reflux had much worse tooth wear and erosion. 

Tooth erosion may naturally occur due to chewing but about half of GERD patients had tooth wear and erosion several times higher than the healthy counterparts, says the report inJournal of the American Dental Association

The acid from the stomach is strong enough “to dissolve the tooth surface directly, or soften the tooth surface, which is later worn down layer by layer,” said lead author Dr. Daranee Tantbirojn of the University of Tennessee. 

“The damage from acid reflux looks like tooth wear -- the tooth is flattened, thin, sharp or has a crater or cupping.” 

Saliva acts as a defense mechanism because its buffering capacity helps protecting teeth in neutralizing acid, but it cannot fully protect teeth against all acid condition in mouth formed after eating and drinking or due to acid reflux from stomach. 

Researchers suggested people with acid reflux to follow some measures to lower their teeth damage. They, for instance, should avoid brushing their teeth immediately after an acid reflux episode and use a fluoride rinse instead. 

Using Xylitol chewing gum and taking baking soda or antacids after acid reflux episodes can also protect teeth against erosion. 

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

Reflux, GERD, atypical reflux, nonacid reflux

Acid Reflux on the Rise- Obesity Increase Likely to Blame

Posted by Rachel Jones on Jan 3, 2012 9:54:00 AM

Study: Acid Reflux on the Rise

Obesity Increase Likely to Blame, Researchers Say

By Salynn Boyles

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

Reflux, GERD, dietary suggestions, obesity surgery

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

Much Greater Risk for Clostridium difficle with Reflux Therapy

Posted by Anthony Starpoli on Oct 7, 2011 6:47:00 PM

In a retrospective study from Japan, the chronic use of proton pump inhibitors (PPIs), often used in the treatment of GERD, was found to be associated with a greater than 3-fold increased risk of developing Clostridium difficile–associated diarrhea (CDAD), Takatoshi Kitazawa, MD, assistant professor at Teikyo University in Tokyo, Japan, reported during a poster session at the 51st Interscience Conference on Antimicrobial Agents and Chemotherapy.

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

Reflux, diarrhea, TIF, GERD, nonacid reflux, EsophyX