Acid Peptic Disease

Acid peptic disease is one of the commonest clinical problems across the globe. The heartburn has in fact persisted over centuries and civilizations. With increasing westernization of lifestyles and adoption of non-traditional diets the prevalence of reflux disease is on the rise in the Asia including India. In addition, non-steroidal anti-inflammatory drugs (NSAIDs), low-dose aspirin, smoking, excessive alcohol use, emotional stress and psychosocial factors are increasingly important causes of ulcers and their complications.

There has been an evolution of knowledge regarding etiopathogenesis of acid peptic disease in last decade. The diagnostic armamentarium has expanded beyond a routine white light endoscopy to high tech high definition oesophageal manometry, impedance and pH-metry and enhanced imaging technologies. We have gone beyond H Pylori, the perception of acid peptic disease has accordingly changed from a simple acid-driven disease to a spectrum of diseases ranging from a lifestyle disease, a functional disease to a gastroparesis or a motility disorder and has opened up options for specialised management of this disease. The treatment options also have evolved beyond prescription drugs to endoscopic treatment options including ARMA and POEM with a possibility of

complete cure.

The Acid Peptic Disease &Beyond Update is a compendium of articles focussing on latest advances of this common symptom complex including etiopathogesis, diagnosis and management. This book will act as a ready to use guide for gastroenterologists and physicians in day to day clinical practice.