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Correspondingly, sphincter length, and the length exposed to intra-abdominal pressure; bile acids may also play a role in esophagitis, especially in patients with pre- vious gastric surgery Symptoms and signs include retrosternal and epigastric burning pain that occurs after eating and while sleeping or lying down and is relieved by drinking liquids, taking antacids, or standing or sit- ting up; regurgitation of bitter or sour-tasting fluid; pulmonary symptoms (wheezing, dyspnea) from aspiration Esophagoscopy and biopsy determine presence and degree of esophagitis and Barrett metaplasia; manometry shows decreased mean resting pressure in lower esophageal sphincter; pH moni- toring reveals increased exposure of lower esophagus to acid, cor- relating with symptom onset s Differential Diagnosis Cholelithiasis Diverticulitis Peptic ulcer disease Achalasia Coronary artery disease s Treatment Asymptomatic hiatal hernia requires no treatment Fundoplication: intra-abdominal placement of gastroesophageal junction (GEJ) and buttressing of gastroesophageal sphincter Surgery is indicated for persistent or recurrent symptoms despite good medical therapy; development of strictures Medications: H2-receptor blockers, proton pump inhibitors; recur- rence is usual when drugs are discontinued Prognosis: 90 of patients experience a good result after sur- gery; 8085 of cases of esophagitis heal after treatment with a proton pump inhibitor s Pearl New-onset bronchospasm in an adult may be due to gastroesophageal reflux and minor, repeated pulmonary aspirations.

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Eur J Pediatr Surg 12:7382 Fitzgerald RJ, et al (2002) Translevator anal anomalies with cutaneous fistulae passing deep to the scrotum.


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Skomr
Don’t deprive yourself from the fabulous sex that you can achieve due to our sale!


amphitrita
The main difference between a man with impotence & a healthy man is about 2-3 years of life!


DeamnWhiskey
Don’t rack you brain! Just go and buy the medicine, I tell you!


xxxlam
JUST SUPER, great, awesome))


BOWWOW
Sorry for that I interfere ... I have a similar situation. Can be discussed.


kleoleo
It is a pity that now I can not express - hurry to work. But be free - be sure to write what I think.


demmy
I agree, a wonderful thing


fantocii
Sorry, I thought about it and deleted the message


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