Awareness, experience, and practice of physicians regarding adult gastroesophageal reflux disease (GERD) in Riyadh, Saudi Arabia

Naguib, Rania; Alfawaz, Amjad S; Alqahtani, Arwa M; Balkhasl, Kholoud M; Alnafee, Reem A; Naji, Sabrin N

doi:10.4103/jfmpc.jfmpc_585_20

Cited by 3 publications

(12 citation statements)

References 19 publications

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“…Comparing the current data to the previous local studies is challenging due to the lack of similar study designs, lack of standard knowledge tools, and small sample size of the previous studies. [ 19 20 ] Nevertheless, the inadequate knowledge observed in the current study is not surprising. A local study that compared GERD management by residents and consultants in three governmental hospitals in Riyadh found that 41.3% of the residents and 27.8% of the consultants were not aware of any guidelines for GERD management patients.…”

Section: Discussionmentioning

confidence: 57%

“…A local study that compared GERD management by residents and consultants in three governmental hospitals in Riyadh found that 41.3% of the residents and 27.8% of the consultants were not aware of any guidelines for GERD management patients. [ 19 ] Internationally, studies assessing GERD management knowledge in family physicians are limited and do not focus on the residents. [ 18 22 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 23 ] Age may reflect more exposure to knowledge sources and training. [ 19 ] Specialists such as gastroenterologists and internists are more likely to be aware of and follow the GERD's standard management guidelines better. [ 18 22 23 ] However, the fact that 75% of the current study residents were not aware of the GERD's recent management guidelines is actually alarming.…”

Section: Discussionmentioning

confidence: 99%

“…[ 14 15 16 ] Moreover, there is a knowledge gap and practice differences in GERD management patients between family physicians and gastroenterologists,[ 17 18 ] and between residents and consultants. [ 19 20 ] Despite these challenges, local data on the physician awareness of GERD management in Saudi Arabia are limited. [ 19 20 ] Additionally, the association between related knowledge and practice has never been explored.…”

Section: Introductionmentioning

confidence: 99%

“…[ 19 20 ] Despite these challenges, local data on the physician awareness of GERD management in Saudi Arabia are limited. [ 19 20 ] Additionally, the association between related knowledge and practice has never been explored. The current study's objective was to assess GERD management's knowledge and practice and their association in the family and internal medicine residents in Riyadh, Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and practice of family medicine and internal medicine residents toward the management of gastroesophageal reflux disease in Riyadh, Saudi Arabia

Alzahrani

Turki

2021

Journal of Family Medicine and Primary Care

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Background: Accurate diagnosis and management of gastroesophageal reflux disease (GERD) remain a challenge in the primary care setting. The objective was to assess GERD management's knowledge and practice and its association with the family and internal medicine residents. Methods: A cross-sectional study between January 2019 and September 2020 among the family and internal medicine residents in Riyadh, Saudi Arabia. Residents answered a self-administrated questionnaire about knowledge and practices of GERD management. Results: A total of 596 residents were included in the current study. The average age was 26.8 ± 2.1 years, and 54.5% of the residents were males. The median knowledge score was 62.5%. The majority (89.8%) of the residents were using acid suppression drugs empirically, mainly proton-pump inhibitors (75.8%), for <8-week durations (69.7%) being taken before meals (84.7%). Frequent diagnostic testing for GERD included urea breath test (50.7%), 24-hour pH-metry/24-hour pH probe (47.3%), and upper endoscopy with biopsy (40.7%). Frequent causes for referral included gastrointestinal bleeding (82.6%), weight loss/appetite loss (82.2%), and failure of therapy (78.7%). Better knowledge was associated with older age, family medicine training, better referral practices, frequent reporting of atypical symptoms, and reading recent guidelines. Conclusions: We are reporting a moderate knowledge level among a group of family and internal medicine residents trained in Riyadh hospitals. Practices were generally good with some areas that need improvement, especially diagnostic testing. There is an urgent need for educational programs that target family and internal medicine residents, such as education courses that include lectures and clinical discussions with the senior staff. Also, we suggest health care organizations in Saudi Arabia establish well-structured Saudi National GERD Guidelines.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Knowledge and practice of family medicine and internal medicine residents toward the management of gastroesophageal reflux disease in Riyadh, Saudi Arabia

Alzahrani

Turki

2021

Journal of Family Medicine and Primary Care

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Long-Term In Vivo Response of a Polyurethane Gastric Implant for Treating Gastro-Oesophageal Reflux Diseases: A Comparison of Different Surface Treatments

Haugen

Schneider

Schlicht

et al. 2022

Biomedical Materials & Devices

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Gastro oesophagael reflux disease (GORD) is common in the Western hemisphere. Patients with regurgitated reflux are typically treated with fundoplication surgery. We present a newly designed polyurethane implant which passively aids the sphincter in reducing gastric fluids within the oesophagus. The gastric implant has an open porous inner side which allows for tissue ingrowth from the oesophagus and thus allows for fixation around the sphincter. In addition, a device for minimally invasive surgery of this implant was developed and used in a pig model. The unmodified GORD implant was placed around the pig’s oesophagus with unsatisfactory results, leading to insufficient fixation at the implantation site and scarring tissue leading to dysphagia. In addition, two surface modifications, plasma activation and TiO2 deposition were used to improve the implant’s host tissue response. The biocompatibility effects of the surface treatments and sterilisation method on the implant were investigated in vitro and in vivo. In vitro tests found that the plasma activation and TiO2 deposition have effectively enhanced the surface hydrophilicity and, consequently, the cell response to the implant. In addition, the gamma sterilisation harmed the plasma-activated implant. The plasma activation was more effective than TiO2 deposition as a surface treatment method for improving the tissue response of this implant in vivo. In addition, the in vivo experiment proved tissue ingrowth as deep as 1 mm into the porous structure of the implant. The GORD implants were encapsulated wholly in fibrous tissue; however, the capsule thickness diminished over time. Finally, the TiO2-coated implants showed the poorest histocompatibility, contradictory to the in vitro findings. This study shows that it is possible to produce a plasma-treated porous polyurethane gastric implant that allows for fibrous tissue ingrowth, reduced in vivo encapsulation, and enhanced chemical properties. Graphical Abstract Model of the implant with an inner porous and an outer non-porous surface. The hypothesis was that the porous surface allows for fibroblastic infiltration into the porous structure (A) and fixation by scarring at the point of implantation, the lower oesophageal sphincter (LOS). The outer side is smooth (B), which hinders neighbouring tissue attachments. In addition, a Nitinol ring (C) aids the implant in exerting pressure around the LOS, thus reducing sphincter volume. In addition, this metal ring aids visualisation with, e.g. X-ray or CT during post-therapy follow-ups. The open, flexible design eases the freeing of the ring in a stretched position and placement around the cardia (D-F). The internal diameter of 28 mm prevents stenosis but markedly reinforces the lower oesophagal sphincter. In addition, its size allows for minimally invasive surgery.

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Assessment of the Current Knowledge and Practice of General Practitioners Towards Laryngopharyngeal Reflux in Saudi Arabia

Alrayah¹,

Alzahrani²,

Alghamdi³

et al. 2023

Cureus

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BackgroundGeneral practitioners (GPs) have a significant role in the diagnosis of patients with laryngopharyngeal reflux (LPR). Some published data revealed a lack of knowledge among GPs about the disease, consequently, this lack of knowledge impacted their performance. This survey aims to assess the current knowledge and practice of general practitioners regarding laryngopharyngeal reflux in Saudi Arabia. MethodologyThis survey study was conducted to assess the current knowledge and practice of general practitioners regarding laryngopharyngeal reflux in Saudi Arabia using an online questionnaire. The questionnaire was distributed and collected from the

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Awareness, experience, and practice of physicians regarding adult gastroesophageal reflux disease (GERD) in Riyadh, Saudi Arabia

Cited by 3 publications

References 19 publications

Knowledge and practice of family medicine and internal medicine residents toward the management of gastroesophageal reflux disease in Riyadh, Saudi Arabia

Knowledge and practice of family medicine and internal medicine residents toward the management of gastroesophageal reflux disease in Riyadh, Saudi Arabia

Long-Term In Vivo Response of a Polyurethane Gastric Implant for Treating Gastro-Oesophageal Reflux Diseases: A Comparison of Different Surface Treatments

Assessment of the Current Knowledge and Practice of General Practitioners Towards Laryngopharyngeal Reflux in Saudi Arabia

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