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Gastroesophageal\tReflux\t(GER)\tand\nGastroesophageal\tReflux\tDisease\t(GERD)\tin\tAdults\n\t(website):\t\nhttp://digestive.niddk.nih.gov/;\n\tSong\tet\tal,\n2013. | [
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BOX\t26.4\nIntegrative\tApproaches\tto\tGI\tConditions,\tIncluding\tAcid\nReflux/Heartburn\nAccording\tto\n\tthe\tNational\tHealth\tInterview\tSurvey\t(NHIS),\twhich\tis\tpublished\tevery\t5\tyears,\ncomplementary\tand\tintegrative\tmedicine\t(CIM)\tuse\tis\tmore\tprevalent\tin\tthose\twith | [
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gastrointestinal\t(GI)\tconditions\tversus\tthose\twithout.\tA\tfollow-up\tstudy\tto\tthe\tmost\trecent\treport\nfound\tthat\t42%\tof\trespondents\twith\tGI\tconditions\tsaw\ta\tpractitioner\tfor\tor\tused\tCIM\twithin\tthe\nprevious\tyear,\twhile\tonly\t28%\tof\tthose\twithout\n\tGI\tconditions\tused\tCIM.\tOf\tthose\... | [
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GI\tconditions\tused\tCIM.\tOf\tthose\twho\treported\nhaving\tGI\tconditions,\t3%\tused\tat\tleast\tone\tCIM\tmodality\tto\taddress\tthe\tproblem.\tGI\tconditions,\tas\ndefined\tby\tthe\tNHIS,\twere\tlimited\tto\tone\tor\tmore\tof\tthe\tfollowing:\tabdominal\tpain,\tnausea\tand/or\nvomiting,\tliver\tconditions,\tdigest... | [
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reflux/heartburn.\tThe\tmost\tcommon\tCIM\tmodalities\tused\twere\tpaired\tinto\n\tgroups\tas\tfollows\n(\nDossett\tet\tal,\t2014\n):\n•\t\nHerbs\tand\tnonvitamin\tnonmineral\tsupplements,\tincluding\tzinc,\tglutamine,\ndeglycyrrhizinated\tlicorice,\tand\taloe\tgel\n•\t\nManipulative\ttherapies:\tchiropractic,\tosteopa... | [
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•\t\nMind-body\ttherapies:\thypnosis,\tbiofeedback,\tmeditation,\timagery,\tprogressive\trelaxation\n•\t\nMind-body\texercise:\tyoga,\ttai\tchi,\tqi\tgong\n•\t\nSpecial\tdiets:\n\tvegetarian\tor\tvegan,\tmacrobiotic,\tAtkins,\tPritikin,\tOrnish,\tor\tdietary\ncounseling\n•\t\nMovement\ttherapy:\tFeldenkrais,\tAlexander... | [
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integration\n•\t\nOther:\tacupuncture,\tAyurveda,\tchelation,\tenergy\thealing,\thomeopathy,\tnaturopathy,\ntraditional\thealers\nAmong\tthese,\therbs\tand\tsupplements,\tmind-body\ttherapies,\tand\tmanipulative\ttherapies\twere\nthe\ttop\tthree\trespondents\n\treported\tusing\tto\taddress\ta\tGI\tcondition,\tand\t47%\... | [
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reported\tusing\tto\taddress\ta\tGI\tcondition,\tand\t47%\tused\t3\tor\tmore\nmodalities.\tOverwhelmingly,\t80%\treported\tthat\tthey\tperceived\tCIM\ttherapy\tto\tbe\thelpful,\tbut\tonly\n70%\tinformed\ttheir\tmedical\tprovider\tabout\tusing\tCIM.\tWhile\tthe\tNHIS\tacknowledges\tsome\nimportant\tdetails\tabout\tthe\t... | [
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conditions\twere\tlimited\tto\tthose\tincluded\tin\tthe\tsurvey.\n\tThe\tfollow-up\tstudy\tis\timportant\tbecause\nit\treveals\ta\tsignificant\tnumber\tof\tindividuals\twho\tare\tintegrating\tCIM\tmodalities\twith\ttraditional\ntreatment\tfor\tGI\tdisorders\t(\nDossett\tet\tal,\t2014\n).\nWith\tmany\tpatients\tusing\ti... | [
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reflux/heartburn,\tit\tis\timportant\tfor\tthe\tnutrition\tprofessional\tto\tbe\taware\tof\tthe\tmost\tcommon\nmodalities\tbeing\tused.\n\tAcupuncture,\tmind-body\ttherapies,\therbs\tand\tdietary\tsupplements,\tand\nnutrition\tand\tlifestyle\tinterventions\tare\tall\tpopular\tand\thave\tvarying\tdegrees\tof\tevidence\t... | [
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support\ttheir\tuse.\tWhile\tacupuncture,\tweight\tloss,\tand\televating\tthe\thead\tof\tthe\tbed\thave\tgood\nevidence,\tthere\tis\talso\treasonable\tevidence\tto\tsupport\tmind-body\tmodalities\tand\tdietary\nmodifications\t(\nDossett\tet\tal,\t2017\n;\t\nEherer\tet\tal,\t2012\n;\t\nJarosz\tand\tTaraszewska,\t2014\n,... | [
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;\t\nJarosz\tand\tTaraszewska,\t2014\n,\t\nMaradey-\nRomero\tet\tal,\t2014\n).\tFurther\tstudy\tis\tneeded,\tand\tspecific\trecommendations\tshould\tbe\ttailored\tto\nthe\tindividual\tby\ta\twell-trained\tprofessional\tusing\tevidence-based\tdata\tfrom\treliable\tsources,\tas\nmany\tpatients\tmay\tlook\tto\tanecdotal\t... | [
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Cowan,\n2014\n).\nSurgery\tof\tthe\tesophagus\nThe\tprimary\tindication\n\tfor\tan\t\nesophagectomy\n\tis\tesophageal\tcancer\tor\tBE\twith\thigh-grade\ndysplasia.\tA\tpatient\tundergoing\tesophagectomy\toften\tpresents\twith\tdysphagia,\tdecreased\tappetite,\nside\teffects\tfrom\tchemotherapy,\tand\tweight\tloss.\tEso... | [
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conduit\tin\tplace\tto\ttransport\tfood\tfrom\tthe\toropharynx\tto\tthe\trest\tof\tthe\tGI\ttract\tfor\tdigestion\tand\nabsorption.\tPlacement\tof\tan\tenteral\tfeeding\n\ttube\tpreoperatively,\tor\tat\tthe\ttime\tof\tsurgery,\tprovides\nenteral\taccess\tfor\tpatients\twho\twill\texperience\teating\tchallenges\tand\ta\... | [
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normal\tdiet.\tThe\tenteral\troute\tof\tnutrition\tis\tpreferred;\thowever,\tif\tthe\tGI\ttract\tis\tnot\tfunctional,\nparenteral\tnutrition\t(PN)\tmust\tbe\tprovided\t(see\t\nChapter\t12\n).\nMedical\tnutrition\ttherapy\nNutrition\tassessment\tof\tan\tesophagectomy\tcandidate\n\tincludes\tevaluation\tof\ttreatment\tpl... | [
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includes\tevaluation\tof\ttreatment\tplans,\thistory\nof\tweight\tloss,\tand\tthe\tability\tto\tswallow\tsolid\tfoods\tand\tliquids.\tGenerally,\tthe\tonly\tesophagectomy\npatients\tscreened\tat\tlow\tnutrition\trisk\tpreoperatively\tare\tthose\twith\tBE\twith\thigh-grade\tdysplasia,\nor\tthose\twho\tare\tasymptomatic.... | [
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Preoperative\tphase.\nSwallowing\tdifficulty\t(\ndysphagia\n)\tis\tthe\tcommonly\tidentified\tproblem\tin\tpatients\tawaiting\tan\nesophagectomy.\tDietary\tmodifications\tmay\trange\tfrom\tregular\tfood\twith\tadequate\tchewing\tand\tslow\neating\tto\tsoft\tfoods\tor\tto\tpureed\tor\tblenderized\tfoods.\tPatients\tmay\... | [
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nutrient-dense,\thigh-protein\tsmoothies\tand\tnutritive\tbeverages\tmade\tfrom\twhole\tfoods\tand\thealthy\nfats\tto\tmaximize\tenergy\tand\tprotein\tintake\tbefore\tsurgery.\tIf\tthe\toral\tdietary\tmodifications\tdo\tnot\nprevent\n\tfurther\tweight\tloss,\tnutrition\tsupport\tfrom\ta\tnasoenteric\tfeeding\ttube\tins... | [
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Postoperative\tphase.\nA\t\ngastric\tpull-up\n\tprocedure\t(\nFig.\t26.4\n)\tinvolves\tremoval\tof\ta\tsegment\tof\tor\tthe\tentire\tesophageal\ntract\tand\treplacing\tit\twith\tthe\tstomach\ttissue.\tComplications\tafter\tthis\tprocedure\tinclude\tincreased\nrisk\tof\taspiration,\tdysphagia,\tanastomosis\tleak,\n\twou... | [
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wound\tinfection,\tand\tstricture\tat\tthe\tanastomosis\nsite.\tA\tjejunostomy\tfeeding\ttube\tmay\tbe\tplaced\tat\tsurgery\tto\tprovide\tpostoperative\tnutrition\tuntil\nadequate\toral\tintake\tis\tachieved.\tThe\ttube\tfeeding\tschedule\tis\tchanged\teventually\tfrom\tcontinuous\nto\tcyclical\tfeedings\tat\tnight\tas... | [
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FIG.\t26.4\nGastric\tpull-up.\n\t\nSource:\n\t(Cleveland\tClinic,\tCleveland,\tOhio.)\nTransition\tto\toral\tintake\tpostoperatively\tproceeds\tfrom\tclear\tliquids\tto\ta\tsoft,\tmoist\tfoods\tdiet.\tThe\npatient\tis\tadvised\tto\teat\tsmall\tfrequent\tmeals\twith\tlimited\tfluids\tat\tmealtimes.\tSome\tpatients\tmay | [
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experience\tdumping\tsyndrome\tif\tfood\tpasses\tinto\tthe\tsmall\tintestine\ttoo\tquickly.\tThe\tsymptoms\tof\ndumping\tsyndrome\tinclude\n\tabdominal\tpain,\tnausea,\tdiarrhea,\tweakness,\tand\tdizziness.\t\nBox\t26.5\n\tlists\ndietary\tguidelines\tafter\tesophageal\tsurgery\tto\tprevent\tdumping\tsyndrome\t(see\t\nD... | [
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Dumping\tSyndrome\nlater\tin\tthis\tchapter\tfor\tmore\tdetails).\nBOX\t26.5\nNutrition\tGuidelines\tAfter\tEsophagectomy\n1.\t\nEnteral\tnutrition\tis\tprovided\tthrough\ta\tjejunostomy\tfeeding\ttube\tafter\tesophagectomy.\n2.\t\nA\tpatient\tcannot\teat\tor\tdrink\tanything\n\tby\tmouth\tuntil\tinstructed\tby\tthe\td... | [
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0.045... |
by\tmouth\tuntil\tinstructed\tby\tthe\tdoctor.\n3.\t\nOnce\tan\toral\tdiet\tis\tallowed,\tpatient\tis\tprovided\twith\tspecific\tguidelines\ton\thow\tto\ttaper\nthe\ttube\tfeedings\tand\tadvance\tthe\toral\tdiet\t(from\tsips\tof\tclear\tliquids\tto\tvery\tmoist,\ttender\nfoods).\n4.\t\nIt\tmay\ttake\tseveral\tweeks\tto... | [
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feeding\tis\tdiscontinued,\tthe\tpatient\tshould\tcontinue\tto\tflush\tthe\n\tjejunostomy\ttube\tdaily.\tA\npatient\twill\tcontinue\tto\tadjust\tto\toral\tfeedings\tfor\tabout\t3\tmonths.\n5.\t\nDuring\tthe\t3-month\ttransition:\n•\t\nEat\tsix\tsmall\tmeals\tper\tday\tand\tinclude\tsources\tof\tprotein\tand\tfat\tat\te... | [
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meal.\n•\t\nChoose\tvery\ttender,\tmoist\tfoods\tthat\tcan\tbe\teasily\tcut\twith\tthe\tside\tof\tfork\tor\tspoon\nand\tuse\tsauces\tor\tgravies\tto\tmoisten\tfood.\n•\t\nGradually\tincrease\tthe\tvolume\tand\tvariety\n\tof\tfoods\tat\teach\tmeal.\n•\t\nAvoid\tskins,\tseeds,\tnuts,\ttough\tor\tdry\tmeats,\tbreads\tand\... | [
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0.010869449004530907,
0.11853595823049545,
-0.037747129797935486,
0.06849034875631332,
-0.0... |
and\tgreasy\tfoods,\traw\tvegetables,\tcooked\tcorn\tand\tpeas,\tand\traw\tfruits.\n•\t\nAvoid\titems\tthat\tcan\tcause\theartburn\tand\tstomach\treflux\tsuch\tas\tcaffeine,\tcitrus\nfruits,\tpineapples,\ttomatoes,\tcarbonated\tbeverages,\tmints,\tand\talcohol.\n•\t\nDrink\tno\tmore\tthan\t4\tfluid\tounces\tof\twater\t... | [
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0.0023940550163388252,
0.10230212658643723,
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0.09111854434013367,
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0.06492055952548981,
-0.0... |
with\tmeals.\tDrink\tfluids\nabout\t30\tminutes\tbefore\tor\tafter\tthe\tmeal\tand\tsip\tslowly.\n•\t\nAvoid\tconcentrated\tsweets\tand\tsugars.\n•\t\nEat\tslowly\tand\tchew\tfoods\tthoroughly.\n6.\t\nAfter\t3\tmonths,\tmore\tfood\tshould\tbe\tadded\tback\tinto\tthe\tdiet.\tTry\tone\tnew\tfood\tor\nbeverage\tat\ta\ttim... | [
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0.0412912555038929,
0.10181897133588791,
-0.04733941704034805,
0.0445418544113636,
-0.01724495... |
beverage\tat\ta\ttime.\n7.\t\nAfter\t6\tmonths,\ta\tpatient\tshould\tbe\teating\tnormally.\tIt\tis\tstill\tadvised\tto\teat\tfrequent\tsmall\nmeals. | [
0.009748038835823536,
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0.06891638785600662,
0.021844541653990746,
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0.05793490633368492,
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-0.035930316895246506,
0.050497... |
Head\n\tand\tneck\tcancer\nPathophysiology\nCancers\tof\tthe\tupper\taerodigestive\ttract,\tcollectively\treferred\tto\tas\thead\tand\tneck\tcancers,\tcomprise\nmalignancies\tof\tthe\toral\tcavity\t(lips\tand\tinside\tof\tthe\tmouth,\tincluding\tthe\tfront\tportion\tof\tthe\ntongue\tand\tthe\troof\tand\tfloor\tof\tthe\... | [
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0.07665324956178665,
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0.05867641419172287,
0.11044839769601822,
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0.028835905715823174,
0.0100741... |
of\tthe\tthroat\tbehind\tthe\toral\tcavity),\tthe\tlarynx,\tand\tthe\tesophagus.\n\tThe\tpatient\tdiagnosed\twith\thead\nand\tneck\tcancer\tfaces\tunique\tchallenges\tin\tmaintaining\tadequate\tnutrition.\tThe\tdisease\tand\tthe\ntreatments,\tespecially\tsurgery\tand\tchemo-\tand\tradiation\ttherapy,\thave\tsignificant... | [
0.014334219507873058,
0.012204029597342014,
0.07533278316259384,
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0.008547802455723286,
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0.0342271588742733,
0.04565323516726494,
0.09482838213443756,
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0.03996486961841583,
0.0019007... |
digestive\ttract\tfunction,\tand\toral\tintake\tis\toften\tinsufficient\tduring\tand\tafter\ttherapy.\tApproximately\n35%\tto\t60%\tof\tall\tpatients\twith\thead\tand\tneck\tcancer\tare\tmalnourished\n\tat\tthe\ttime\tof\tdiagnosis\tdue\nto\tintake\tdifficulties,\ttumor\tburden,\tand\tcachexia\t(\nAlshadwi\tand\tNaders... | [
0.05466815084218979,
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0.026736054569482803,
0.01230283360928297,
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0.051497239619493484,
-0.014361611567437649,
0.02225825935602188,
0.02435038... |
Alshadwi\tand\tNadershah,\t2013\n).\tDysphagia\tis\ta\nhallmark\tof\thead\tand\tneck\tcancer;\tit\toccurs\tas\ta\tresult\tof\tmechanical\tobstruction,\tsensory\nimpairment,\tor\t\nodynophagia\n\t(painful\tswallowing).\tIn\tthese\tpatients\tthere\tis\ta\thigh\tprevalence\tof\nalcohol\tabuse\tand\tlong-term\ttobacco\tuse... | [
0.020534634590148926,
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0.002847359050065279,
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0.011644880287349224,
0.07993026822805405,
-0.014155285432934761,
0.03733779862523079,
0.00... |
(\nSchoeff\tet\tal,\t2013\n).\nMedical\tnutrition\ttherapy\nDepending\ton\tthe\ttumor\tsite,\tthe\tsurgical\tprocedure\tmay\tsignificantly\talter\tthe\tanatomy\tand\tlead\tto\nscarring\tthat\tcan\tnegatively\taffect\tswallowing.\tThe\tpatient\tis\tlikely\tto\tbe\trestricted\tfrom\toral\tintake\nwhile\thealing\tfrom\tth... | [
0.03237356245517731,
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0.06329119950532913,
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0.007503211963921785,
0.06521618366241455,
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0.03396241366863251,
0.11487086862325668,
0.009947109967470169,
0.04720325395464897,
-0.008... |
ensure\tsafe\tdelivery\tof\tadequate\tnutrition,\n\tbut\tthe\toptimal\ttiming\tis\tnot\tdefined.\tMany\tclinicians\tmay\nplace\tthem\tprophylactically\tbefore\tthe\tstart\tof\tradiation\tor\tsurgical\tresection\tto\tprevent\ncomplications\tfrom\tmalnutrition\t(\nMarian\tet\tal,\t2017\n).\tAlthough\tthe\tgoal\tis\tevent... | [
0.00574423186480999,
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0.0761587992310524,
0.10614576935768127,
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0.03200928866863251,
0.02911... |
).\tAlthough\tthe\tgoal\tis\teventual\ttransition\tto\toral\nfeeding,\tsome\tpatients\twill\trequire\tadditional\tenteral\tnutrition\t(EN)\tbecause\tof\tstructural\tand\nsensory\tdeficits.\nAggressive\tprophylactic\tswallowing\n\ttherapy\tis\ta\trecent\tdevelopment\tin\tthe\ttreatment\tof\tdysphagia | [
0.03156518563628197,
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0.06111910566687584,
0.00000787176668382017,
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0.09948872029781342,
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0.0028193823527544737,
0.07226... |
therapy\tis\ta\trecent\tdevelopment\tin\tthe\ttreatment\tof\tdysphagia\nin\tpatients\twith\thead\tand\tneck\tcancer.\tThis\tapproach\tfocuses\ton\tmaintaining\tor\tregaining\tfunction\nrather\tthan\tsimply\taccommodating\tdysfunction\t(reliance\ton\tfeeding\ttube)\tand\tempowers\tpatients\tto\nprogress\tcarefully\twith... | [
-0.02842574752867222,
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0.11868611723184586,
0.015191192738711834,
0.04154662415385246,
0.0464... |
Schoeff\tet\tal,\t2013\n).\nThe\tstomach\nThe\tstomach\taccommodates\tand\tstores\n\tmeals,\tmixes\tfood\twith\tgastric\tsecretions,\tand\tcontrols\nemptying\tinto\tthe\tduodenum.\tGastric\tvolume\tis\tapproximately\t50\tmL\twhen\tempty\tbut\tcan\texpand\tto\napproximately\t4\tL.\tGastric\t\nparietal\tcells\n\t(acid-pr... | [
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0.03639606758952141,
0.12910091876983643,
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0.06930705904960632,
-0.0... |
(acid-producing\tcells)\tproduce\t1.5\tto\t2\tL\tof\tacid\tdaily,\nresulting\tin\ta\tpH\tbetween\t1\tand\t2\t(see\t\nChapter\t1\n\tfor\ta\tdetailed\tdiscussion\tof\tnormal\tstomach\nfunction).\nThe\tmucosa\tof\tthe\tstomach\tand\tduodenum\tis\n\tprotected\tfrom\tproteolytic\tactions\tof\tgastric\tacid\tand | [
-0.0065311407670378685,
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0.046556372195482254,
0.11611815541982651,
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0.050381578505039215,
0.049... |
protected\tfrom\tproteolytic\tactions\tof\tgastric\tacid\tand\npepsin\tby\ta\tcoating\tof\tmucus\tsecreted\tby\tglands\tin\tthe\tepithelial\twalls\tfrom\tthe\tlower\tesophagus\tto\nthe\tupper\tduodenum.\tThe\tmucosa\talso\tis\tprotected\tfrom\tbacterial\tinvasion\tby\tthe\tdigestive\tactions\nof\tpepsin\tand\thydrochlo... | [
0.00113565637730062,
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0.005867360159754753,
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0.02831476926803589,
0.10076653212308884,
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0.038760725408792496,
0.053739... |
gastroduodenal\tmucosa\tby\tstimulating\tthe\tsecretion\n\tof\tmucus\tand\tbicarbonate\tand\tmaintaining\nblood\tflow\tduring\tperiods\tof\tpotential\tinjury.\nDyspepsia\tand\tfunctional\tdyspepsia\nPathophysiology\nDyspepsia\n\t(indigestion)\trefers\tto\tnonspecific,\tpersistent\tupper\tabdominal\tdiscomfort\tor\tpain... | [
0.02974584698677063,
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0.038022685796022415,
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0.03632815554738045,
0.08031131327152252,
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0.049870... |
affects\tan\testimated\t20%\tto\t40%\tof\tthe\tgeneral\tpopulation\tand\tsignificantly\treduces\tquality\tof\tlife\n(\nFord\tand\tMoayyedi,\t2013\n).\tThe\tunderlying\tcauses\tof\tdyspepsia\n\tmay\tinclude\tGERD,\tpeptic\tulcer\ndisease,\tgastritis,\tgallbladder\tdisease,\tor\tother\tidentifiable\tpathologic\tcondition... | [
0.05100473016500473,
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0.00872886460274458,
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0.05288415402173996,
0.08497969806194305,
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0.03394245356321335,
0.0938681960105896,
0.04553918167948723,
0.011280680075287819,
0.061331406235... |
Functional\tgastrointestinal\tdisorders\t(FGIDs),\tnow\tknown\tas\tdisorders\tof\tgut-brain\tinteraction\n(DGBI),\thave\tbeen\tdiagnosed\tand\tclassified\tusing\tstandards\tdefined\tby\tthe\tRome\tcriteria\tsince\tits\ninception\tin\tthe\tlate\t1980s.\tThe\tmost\trecent\tupdate\tusing\tcurrent\tscientific\tdata\twas\n\... | [
0.012148476205766201,
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0.025152506306767464,
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0.04775130748748779,
0.019985558465123177,
0.008245679549872875,
0.04607057198882103,
0.10668707638978958,
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0.072... |
released\tin\nMay\t2016\tand\tis\tknown\tas\tthe\t\nRome\tIV\tcriteria\n.\tAccording\tto\tthese\tcriteria,\t\nfunctional\tdyspepsia\n(FD)\tis\tdefined\tas\tan\tumbrella\tterm\tto\tinclude\tpatients\twith\tpostprandial\tdistress\tsyndrome\t(PDS)\nand\tepigastric\tpain\tsyndrome\t(EPS)\t(\nSchmulson\tand\tDrossman,\t2017... | [
-0.0036597605794668198,
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0.024444470182061195,
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0.00018986516806762666,
0.057886675000190735,
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0.13764598965644836,
0.0017897003563120961,
-0.0059887436218559... |
Schmulson\tand\tDrossman,\t2017\n).\tSymptoms\tcan\tinclude\npostprandial\tfullness\tand\tearly\tsatiety,\tbut\talso\tmay\tcause\tpatients\tto\tperceive\tepigastric\tdiscomfort\nand/or\tburning\tafter\tmeals.\tThe\tsyndromes\tcan\toverlap\tand\tare\tconsidered\tgastroduodenal\ndisorders\tthat\toccur\tin\tthe\tabsence\t... | [
0.01623746193945408,
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0.04787221923470497,
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0.011226070113480091,
0.11039282381534576,
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0.03664395213127136,
0.02... |
the\tsymptoms\t(\nTalley\tand\tFord,\t2015\n).\tThe\tword\tdiscomfort\tis\timportant\tto\temphasize,\tas\tmany\npatients\twill\tnot\tcomplain\tof\tpain\tbut\trather\tof\tburning\tand\tpressure\tor\tfullness\tin\tthe\tepigastric\narea,\twith\ta\tfrequent\n\tcomplaint\tof\tearly\tsatiety.\tBelching,\tabdominal\tbloating,... | [
0.03851936385035515,
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0.06856932491064072,
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0.005025140009820461,
0.09494975954294205,
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0.01911412738263607,
0.06516844034194946,
0.09465514123439789,
-0.01134611014276743,
0.034600213170051575,
0.016712179... |
be\tpresent\tin\tboth\tsyndromes,\tbut\tvomiting\tis\tconsidered\tan\tunusual\toccurrence\t(\nSchmulson\tand\nDrossman,\t2017\n).\nMedical\tnutrition\ttherapy\nCurrent\ttreatments\tfor\tFD\thave\tgenerally\tignored\tthe\tpotential\trole\tof\tdiet.\tThe\tpossible\teffect\tof\nspecific\tfoods\tand\tmacronutrients\tand\to... | [
0.014368178322911263,
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0.05382736027240753,
0.03245435282588005,
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0.04999152198433876,
0.10382755100727081,
0.015754247084259987,
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0.02963850647211075,
0.12077048420906067,
-0.029001008719205856,
0.03495659679174423,
0.023677... |
FD\tsymptoms\thas\nbeen\tpoorly\tstudied,\tand\toften\tthere\tare\tconflicting\tresults\t(\nLacy\tet\tal,\t2012\n).\tHowever,\tone\tmore\nrecent\tstudy\tdemonstrated\tspicy,\tpickled,\tand\thigh-fat\tfoods\tas\tcatalysts,\tinducing\tsymptoms\tthe\nmost\tin\tpatients\twith\tthis\tcondition\t(\nAkhondi-Meybodi\tet\tal,\t... | [
0.02711140736937523,
0.0013973522000014782,
0.06488595902919769,
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0.02144407294690609,
0.10682056844234467,
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0.04522383585572243,
0.014884... |
Akhondi-Meybodi\tet\tal,\t2015\n).\tUsing\ta\tfood\tand\tsymptom\tdiary\nduring\ta\tclinical\tevaluation\tof\ta\tpatient\twith\tFD\tand\tassessing\tsymptoms\tassociated\twith\n\teating | [
0.03268071636557579,
0.008100097067654133,
0.031079431995749474,
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0.023407576605677605,
0.1602381467819214,
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0.006668545305728912,
0.09511049091815948,
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0.011330127716064453,
0.018... |
patterns\tis\tuseful.\tDietary\tmodifications\tsuch\tas\tconsuming\tsmaller\tmeals\twith\ta\treduction\tin\tdietary\nfat\tmay\tbe\tpromising\tin\tFD\ttherapy.\tHelping\tthe\tpatient\tidentify\tproblematic\tfoods\talso\tcan\tbe\nhelpful.\nGastritis\tand\tpeptic\tulcers\nPathophysiology\nGastritis\n\tis\ta\tnonspecific\t... | [
-0.003372345818206668,
-0.058563362807035446,
0.031805239617824554,
-0.003296326380223036,
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0.012708349153399467,
0.04319947212934494,
0.028204021975398064,
-0.032645974308252335,
0.04539700597524643,
0.1200660914182663,
-0.00135613523889333,
0.024207452312111855,
0.05... |
describe\tsymptoms\trelating\tto\tthe\tstomach,\n\tan\tendoscopic\tappearance\tof\tthe\tgastric\tmucosa,\tor\ta\nhistologic\tchange\tcharacterized\tby\tinfiltration\tof\tthe\tepithelium\twith\tinflammatory\tcells\tsuch\tas\npolymorphonuclear\tcells\t(PMNs).\tAcute\tgastritis\trefers\tto\trapid\tonset\tof\tinflammation\... | [
0.03465771675109863,
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0.033724378794431686,
-0.029674306511878967,
-0.13705092668533325,
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0.07821483165025711,
0.0765003114938736,
0.019693732261657715,
0.04776834324002266,
0.06406662613153458,
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0.03797651082277298,
0.08492488... |
symptoms.\tChronic\tgastritis\tmay\toccur\tover\ta\tperiod\tof\tmonths\tto\tdecades,\twith\treoccurring\nsymptoms.\tSymptoms\tinclude\tnausea,\tvomiting,\tmalaise,\tanorexia,\n\themorrhage,\tand\tepigastric\tpain.\nProlonged\tgastritis\tmay\tresult\tin\tatrophy\tand\tloss\tof\tstomach\tparietal\tcells,\twith\ta\tloss\t... | [
0.060049135237932205,
-0.05121355876326561,
-0.010687359608709812,
0.036918383091688156,
-0.0880698412656784,
-0.0036935897078365088,
0.01830609329044819,
0.038023654371500015,
-0.020296815782785416,
0.05447880178689957,
0.053223494440317154,
-0.03699451684951782,
0.006450251676142216,
0.0... |
secretion\t(achlorhydria)\tand\tintrinsic\tfactor,\tresulting\tin\tpernicious\tanemia\t(see\t\nChapter\t31\n).\nHelicobacter\tpylori\n\tgastritis\nHelicobacter\tpylori\n\tis\ta\tgram-negative\tbacteria\tthat\tis\tsomewhat\tresistant\tto\tthe\tacidic\nenvironment\tin\tthe\tstomach.\t\nH.\tpylori\n\tinfection\n\tis\tresp... | [
-0.0193465668708086,
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0.012902690097689629,
-0.02665691450238228,
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0.028438912704586983,
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0.03139150142669678,
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0.08551790565252304,
0.12081173062324524,
-0.09102854132652283,
0.02809528075158596,
0.0724392... |
infection\n\tis\tresponsible\tfor\tmost\tcases\tof\tchronic\tinflammation\nof\tthe\tgastric\tmucosa\tand\tpeptic\tulcer,\tgastric\tcancer,\tand\t\natrophic\tgastritis\n\t(chronic\tinflammation\nwith\tdeterioration\tof\tthe\tmucous\tmembrane\tand\tglands),\tresulting\tin\tachlorhydria\tand\tloss\tof\nintrinsic\tfactor\t... | [
-0.0022965639363974333,
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0.021595770493149757,
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0.006707452703267336,
0.08897359669208527,
0.058966703712940216,
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0.05938627943396568,
0.08646885305643082,
-0.031878381967544556,
0.05587143450975418,
0.1... |
intrinsic\tfactor\t(\nDos\tSantos\tand\tCarvalho,\t2015\n).\nH.\tpylori\n\tis\ta\tknown\tunderlying\tcause\tof\tnoncardia\tgastric\tcancer\tand\tresponsible\tfor\tdeaths\tfrom\npeptic\tulcer\t(\nAxon,\t2014\n).\tAn\tupdated\tclassification\tof\tgastric\tcancers\twas\tadopted\tin\tpart\tbecause\nof\tthe\trole\tof\t\nH.\... | [
-0.01754571869969368,
-0.024539830163121223,
0.04503975436091423,
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0.12017185986042023,
0.023365212604403496,
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0.025570474565029144,
0.12681834399700165,
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-0.015331551432609558,
0.0... |
of\tthe\trole\tof\t\nH.\tpylori,\n\twhich\tis\ta\tstrong\trisk\tfactor\tfor\tnoncardia\tgastric\tcancer.\tTraditionally,\ngastric\tcancer\twas\tconsidered\ta\tsingle\tdisease,\tbut\tscientists\tnow\tclassify\tit\tby\tits\tlocation\tin\teither\nthe\ttop\tinch\tof\tthe\tstomach\tnear\tthe\tesophagus\t(gastric\tcardia)\to... | [
0.04933919385075569,
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-0.03081822767853737,
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0.05930349975824356,
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0.03297385945916176,
0.11444400250911713,
-0.0342588871717453,
0.013930653221905231,
0.0... |
(noncardia).\nDeveloped\tcountries\thave\tseen\ta\tdecrease\tin\t\nH.\tpylori\n\tinfections\tin\trecent\tyears\tbecause\tof\nincreased\tinformation,\ttesting,\tand\teffective\ttreatment.\tRisk\tfactors\tfor\tthis\tinfection\tare\thigher\tin\nless-developed\tcountries\twith\tlower\tstandard\tof\tliving,\tpoor\teducation... | [
0.0005505261360667646,
-0.022216683253645897,
0.032724399119615555,
-0.014119232073426247,
-0.1017126739025116,
-0.006752561312168837,
0.10499769449234009,
0.007616328541189432,
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0.04027441516518593,
0.12024061381816864,
-0.06351999193429947,
0.01891862414777279,
0.02... |
these\tcommunities,\tthe\tprevalence\tof\treinfection\tis\talso\thigher,\tleading\tto\tan\tongoing\tpublic\n\thealth\nproblem.\tThe\trevelation\tthat\ttreating\t\nH.\tpylori\n\tinfection\tdecreases\tthe\trisk\tfor\tsome\tcancers\tbut\tmay\nincrease\tthe\trisk\tof\tother\tcancers\t(esophageal)\tis\talso\tprompting\tmore... | [
0.027537791058421135,
-0.05613221973180771,
0.04929226636886597,
-0.04696222394704819,
-0.1329425573348999,
-0.006433788221329451,
0.10816145688295364,
0.015676915645599365,
0.0036777688656002283,
0.05376150459051132,
0.11683892458677292,
-0.05160531774163246,
0.06034298986196518,
0.026964... |
treatment\tmust\tbe\tmore\twidespread\t(\nAxon,\t2014\n).\nWhile\tprevalence\tof\t\nH.\tpylori\n\tinfection\tcorrelates\twith\tgeography\tand\tsocioeconomic\tstatus\tof\tthe\npopulation\tand\tbegins\tduring\tchildhood,\tit\n\tis\toften\tnot\tdiagnosed\tuntil\tadulthood.\t\nH.\tpylori\n\tis\tspread | [
-0.002731237094849348,
-0.00954632181674242,
0.046020977199077606,
-0.0741257295012474,
-0.07905659824609756,
0.034783247858285904,
0.033986277878284454,
0.06699057668447495,
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0.042571261525154114,
0.10412421822547913,
0.0312647819519043,
-0.004700119607150555,
0.0492... |
is\toften\tnot\tdiagnosed\tuntil\tadulthood.\t\nH.\tpylori\n\tis\tspread\nthrough\tcontaminated\tfood\tand\twater\tand\tis\tcorrelated\twith\tlower\tlevels\tof\thygiene.\tMore\tthan\thalf\nof\tthe\tworld\tpopulation\tis\tinfected\tand\tprevalence\tranges\tfrom\tas\tlow\tas\t18.9%\tin\tSwitzerland,\tto\n24.6%–35.6%\tin\... | [
0.05188216269016266,
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0.04610220342874527,
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0.009556508623063564,
0.06755629926919937,
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0.03595747426152229,
0.09638170152902603,
-0.08554796129465103,
0.022545108571648598,
0.0528... |
Hooi\tet\tal,\t2017\n).\t\nH.\npylori\n\tinfection\tdoes\tnot\tresolve\tspontaneously,\n\tand\trisks\tof\tcomplications\tincrease\twith\tthe\tduration\nof\tthe\tinfection.\tOther\trisk\tfactors\tcontributing\tto\tpathology\tand\tdisease\tseverity\tinclude\tpatient\tage\nat\tonset,\tspecific\tstrain\tand\tconcentration\... | [
0.007758663035929203,
0.0020513683557510376,
0.0464794896543026,
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0.10766724497079849,
0.005374206695705652,
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0.05435614287853241,
0.12540017068386078,
-0.06268548220396042,
0.03388502821326256,
0.026224... |
the\tpatient’s\tlifestyle\tand\toverall\thealth.\nIn\tthe\tfirst\tweek\tafter\t\nH.\tpylori\n\tinfection,\tmany\tPMNs\tand\ta\tfew\teosinophils\tinfiltrate\tthe\n\tgastric\nmucosa.\tThese\tare\treplaced\tgradually\twith\tthe\tmononuclear\tcells.\tThe\tpresence\tof\tlymphoid\tfollicles\nis\tcalled\t\nmucosa-associated\t... | [
-0.012360948137938976,
0.01542736403644085,
0.04996296763420105,
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0.018840106204152107,
0.022006575018167496,
0.033450089395046234,
0.09672912955284119,
-0.0035503318067640066,
0.039385922253131866,
0.011... |
.\tMALT\tmay\tbecome\tautonomous\tto\tform\ta\nlow-grade,\tB-cell\tlymphoma\tcalled\tMALT\tlymphoma.\t\nH.\tpylori\n\tcan\tcause\tduodenitis\tif\tit\tcolonizes\ngastric\ttissue\tthat\tmay\tbe\tpresent\tin\tthe\tduodenum.\nTreating\t\nH.\tpylori\n\twith\tantibiotics\tcan\tcause\tPMNs\n\tto\tdisappear\twithin\ta\tweek\to... | [
-0.02780045010149479,
-0.03118443302810192,
0.04150503873825073,
-0.08005161583423615,
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0.008555135689675808,
0.054241668432950974,
0.031280845403671265,
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0.05220085754990578,
0.105825275182724,
-0.037199825048446655,
0.03715034946799278,
0.047056... |
to\tdisappear\twithin\ta\tweek\tor\ttwo,\tbut\ta\tmild\ngastritis\tcan\tpersist\tfor\tseveral\tyears,\tas\tthe\treduction\tin\tmononuclear\tcells\tis\tslow.\tIn\tcountries\nwhere\t\nH.\tpylori\n\tis\tcommon,\tso\tis\tgastric\tcancer.\tBecause\t\nH.\tpylori\n\tcan\tcause\tpeptic\tulcer\tand\tgastric\ncancer,\tantibiotic... | [
-0.010111682116985321,
-0.04048791527748108,
0.018996357917785645,
-0.04071812704205513,
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0.02305578999221325,
0.06836239993572235,
0.0012885590549558401,
-0.02207757718861103,
0.02367924526333809,
0.11598022282123566,
-0.028756940737366676,
0.02399521879851818,
0.0435... |
Box\t26.6\n\tincludes\tinformation\tabout\nintegrative\tapproaches\tfor\t\nH.\tpylori\n.\nBOX\t26.6\nIntegrative\tApproaches\tto\t\nHelicobacter\tPylori\n\t\nand\tAssociated\nGI\tDisease\nTypical\tmedical\ttreatment\tfor\t\nH.\tpylori\n\tis\twith\t“triple\ttherapy”\t(TT)\tthat\tcombines\ttwo\nantimicrobial\tdrugs\t(cla... | [
-0.036746252328157425,
-0.04201879724860191,
0.003403980052098632,
-0.04929812625050545,
-0.1106550320982933,
-0.013273902237415314,
0.04623175039887428,
0.10136840492486954,
0.019907474517822266,
0.03759952262043953,
0.06597818434238434,
0.03482022508978844,
0.03965877369046211,
0.1092555... |
(PPI)\tfor\t1\tto\t2\tweeks\twith\tan\t80%\tto\t85%\tsuccess\trate\t(\nSarkar\tet\tal,\t2016\n;\t\nOh\tet\tal,\t2016\n).\nUnfortunately,\tadverse\tevents\tsuch\tas\t\nClostridium\n\tdifficile\n\tinfection\t(CDI)\tor\tpseudomembranous\ncolitis\tcan\toccur\twith\tthe\tchange\tin\tgut\tflora\tdue\tto\tTT\ttreatment.\tOne\... | [
-0.052629586309194565,
0.011107048019766808,
0.009844365529716015,
-0.053289785981178284,
-0.09426221996545792,
0.006834965664893389,
0.0698680654168129,
0.05263037607073784,
0.006488810759037733,
0.054355449974536896,
0.1387401819229126,
-0.0018224279629066586,
0.03562773019075394,
0.0381... |
controlled\ttrial\t(RCT)\temployed\ta\t4-week\tcomparison\tof\tstandard\tmedical\ttreatment\talone\tversus\nstandard\tmedical\ttreatment\twith\ta\tprobiotic\tadded\tto\tdemonstrate\tan\teradication\trate\tof\t100%\tin\nthe\tprobiotic\tgroup\tversus\t90%\tin\tthe\tcontrol.\tThe\teffect\twas\tthought\n\tto\tbe\tdue\tto\t... | [
-0.019934484735131264,
-0.03281933441758156,
0.023060280829668045,
0.015224872156977654,
-0.053684670478105545,
0.04728293791413307,
0.09536869078874588,
0.0516241192817688,
-0.022552242502570152,
0.006790905259549618,
0.09502294659614563,
-0.018570205196738243,
0.025205757468938828,
0.020... |
to\tbe\tdue\tto\tlowered\nimbalance\tof\tmicrobiota\tduring\ttreatment,\tthus\tleading\tto\tbetter\ttolerated\ttreatment\tcompletion\n(\nOh\tet\tal,\t2016\n).\tWhereas\tthis\tparticular\tstudy\twas\tvery\tsmall,\ta\tmuch\tlarger\tmeta-analysis\nreviewed\tsimilar\tcomparison\tdata\tfrom\t6997\tparticipants\tfrom\t45\tRC... | [
0.018840685486793518,
0.0019947304390370846,
0.010481706820428371,
-0.07263773679733276,
-0.10269931703805923,
-0.011995261535048485,
0.03679991140961647,
0.012636762112379074,
-0.016041288152337074,
0.04311678558588028,
0.08326619863510132,
0.020571788772940636,
0.045917809009552,
0.04566... |
of\t82.31%\tin\tthe\tprobiotic\tgroup\tversus\t72.08%\tin\tthe\tcontrol\tgroup\t(\nZhang\tet\tal,\t2015\n).\nProbiotics\n\tspecies\t(\nLactobacillus,\tBifidobacterium\n)\thave\tbeen\tstudied\tfor\tprevention,\nmanagement,\tand\teradication\tof\t\nH.\tpylori\n\t(\nZhu\tet\tal,\t2014\n).\tFurther\tstudy\ton\tspecific\tst... | [
-0.030014559626579285,
-0.051221925765275955,
0.010412601754069328,
-0.01635495387017727,
-0.05108688771724701,
0.027294347062706947,
0.05098384991288185,
0.10463402420282364,
-0.011987133882939816,
0.027647757902741432,
0.10095884650945663,
-0.07489285618066788,
0.018592594191432,
0.07413... |
H.\tpylori\n\t(\nZhu\tet\tal,\t2014\n).\tFurther\tstudy\ton\tspecific\tstrains\tand\nlarger\tclinical\ttrials\tis\twarranted\tto\tinvestigate\tthe\trole\tof\tprobiotic\ttherapy\tand\twhether\tit\tshould | [
-0.03837702423334122,
-0.007573065347969532,
0.0361151322722435,
-0.02207687497138977,
-0.01993289589881897,
0.02110539749264717,
0.10003074258565903,
0.016277918592095375,
-0.02125510387122631,
-0.0058352043852210045,
0.11980712413787842,
-0.07024950534105301,
0.02224155142903328,
0.04220... |
be\tincluded\tas\ta\tstandard\tof\tcare\tin\tmedical\ttreatment\tmoving\tforward.\nFood\talso\tprovides\tan\tinteresting\talternative\tto\n\tstandard\ttherapy.\tEmerging\tresearch\ton\tthe\nsynergy\tof\tfood\tcombinations\tthat\tmay\tinhibit\tthe\tgrowth\tof\t\nH.\tpylori\n\tsuggests\tthat\tgreen\ttea,\nbroccoli\tsprou... | [
0.007336112670600414,
-0.03155078366398811,
0.039767373353242874,
-0.010562478564679623,
-0.0885828360915184,
-0.010617991909384727,
0.1081731989979744,
-0.014302652329206467,
-0.014685707166790962,
0.06069079414010048,
0.14421947300434113,
-0.0497201569378376,
0.05310146510601044,
0.02588... |
H.\tpylori\neradication\t(\nKennan\tet\tal,\t2010\n).\tRecent\tstudies\thave\talso\tdemonstrated\tanti–\nH.\tpylori\n\tpotential\nand\tsignificant\tinhibition\tof\tthe\tbacteria’s\tgrowth\tby\tn-3\tpolyunsaturated\n\tfatty\tacids\t(PUFAs)\tin\nboth\tin\tvitro\tand\tin\tvivo\tmodels.\tA\tdecrease\tin\tgrowth\tand\tassoc... | [
-0.01805889792740345,
-0.03171864151954651,
0.01728270947933197,
-0.018971895799040794,
-0.10795373469591141,
0.02666439861059189,
0.052012935280799866,
0.03916822746396065,
-0.005226275883615017,
0.04348549619317055,
0.1479448825120926,
-0.07745232433080673,
-0.009300184436142445,
0.05548... |
H.\tpylori\nhas\tbeen\tshown\twith\tadministration\tof\tdocosahexaenoic\tacid\t(DHA).\tAlthough\tsome\tresults\nshowed\tfish\toil\tas\tless\teffective\tthan\taspects\tof\tTT\ttreatment,\tand\tomega-3s\twould\tnot\tbe\ta\nstandalone\ttherapy,\tdata\tsuggests,\twhen\tcombined\twith\tstandard\tTT\ttreatment,\tthat\tPUFAs\... | [
-0.04938594251871109,
-0.023121381178498268,
0.014640958048403263,
-0.03223235532641411,
-0.09978468716144562,
-0.00014843286771792918,
0.07844231277704239,
0.01536463387310505,
-0.008631065487861633,
0.04188453406095505,
0.11664098501205444,
-0.05522124841809273,
0.016233952715992928,
0.0... |
DHA\tcould\n\thave\tpotential\tto\tdamper\trecurrence\trates\t(\nPark\tet\tal,\t2015\n).\nBecause\tof\tthe\tknown\trelationship\tbetween\t\nH.\tpylori\n\tand\tpeptic\tulcers,\teradication\tof\tthe\nbacteria\tis\ta\tprimary\tfocus\tof\ttreatment\tfor\tthose\twho\ttest\tpositive\tfor\tit.\tDietary\tpolyphenols\tare | [
-0.022841427475214005,
-0.021038252860307693,
0.04669339954853058,
-0.05404850095510483,
-0.11658838391304016,
-0.02502998523414135,
0.043619003146886826,
-0.0032524587586522102,
0.0287761427462101,
0.046276409178972244,
0.10594035685062408,
-0.020702259615063667,
0.0056291744112968445,
0.... |
being\treviewed\tin\ta\tvariety\tof\tstudies\tto\tdetermine\tefficacy\tin\tcombination\twith\tconventional\ntreatment\tfor\tpeptic\tulcers.\tPiper\tbetel,\tcurcumin,\n\tgallic\tacid,\tapple,\tgrape,\tpomegranate\tand\ngreen\ttea\tpolyphenols,\tand\tquercetin\trepresent\tonly\ta\tfew\tcompounds\tbeing\tinvestigated.\tTh... | [
0.04912479966878891,
-0.05573979392647743,
0.04181884601712227,
-0.023395033553242683,
-0.1200464516878128,
-0.016317224130034447,
0.1176641434431076,
0.012084504589438438,
0.019656481221318245,
0.06399693340063095,
0.06532682478427887,
-0.06975112855434418,
0.02853352017700672,
0.03238148... |
bioactive\tcompounds\tare\tonly\ta\tstarting\tpoint\tfor\tthe\tdirection\tof\tfuture\tresearch\tand\tclinical\ntrials\tneeded\tto\tdetermine\tthe\trole\tof\tfood\tas\ta\tpart\tof\tthe\ttreatment\tfor\tpeptic\tulcer\tdisease\n(\nFarzaei\tet\tal,\t2015\n).\nNon-\nhelicobacter\tpylori\n\tgastritis\nAspirin | [
-0.02590649388730526,
-0.10211596637964249,
0.0013665987644344568,
-0.023300690576434135,
-0.07354545593261719,
0.005345693323761225,
0.07658156007528305,
0.10774173587560654,
0.0007538167992606759,
0.07341266423463821,
0.06717275828123093,
0.0075538852252066135,
0.051577210426330566,
0.09... |
(\nFarzaei\tet\tal,\t2015\n).\nNon-\nhelicobacter\tpylori\n\tgastritis\nAspirin\n\tand\tnonsteroidal\tantiinflammatory\tdrugs\t(NSAIDs)\tare\tcorrosive;\tboth\tinhibit\tprostaglandin\nsynthesis,\twhich\tis\tessential\tfor\tmaintaining\tthe\tmucus\tand\tbicarbonate\tbarrier\tin\tthe\tstomach.\tThus | [
-0.03919306397438049,
-0.05774189531803131,
0.018066389486193657,
-0.014440987259149551,
-0.10109227895736694,
0.037469010800123215,
0.08285477757453918,
0.0658353865146637,
0.023485509678721428,
0.07294795662164688,
0.06270772218704224,
-0.027551162987947464,
0.014214517548680305,
0.11635... |
chronic\tuse\tof\taspirin\tor\tother\tNSAIDs,\tsteroids,\talcohol,\terosive\tsubstances,\ttobacco,\tor\tany\ncombination\tof\tthese\tfactors\tmay\tcompromise\tmucosal\tintegrity\tand\tincrease\tthe\tchance\tfor\nacquiring\tacute\tor\n\tchronic\tgastritis.\tEosinophilic\tgastroenteritis\t(EGE)\talso\tmay\tcontribute\tto... | [
0.0019316147081553936,
-0.08394193649291992,
0.028643600642681122,
0.0005562840378843248,
-0.0951462835073471,
0.03824404999613762,
0.10477015376091003,
0.05623616278171539,
-0.03905660659074783,
0.06079103425145149,
0.08935384452342987,
0.008016113191843033,
0.03248784691095352,
0.0720678... |
cases\tof\tgastritis.\tPoor\tnutrition\tand\tgeneral\tpoor\thealth\tmay\tcontribute\tto\tthe\tonset\tand\tseverity\tof\nthe\tsymptoms\tand\tcan\tdelay\tthe\thealing\tprocess.\nMedical\ttreatment\nTreatment\tfor\tgastritis\tinvolves\tremoving\tthe\tinciting\tagent\t(e.g.,\tpathogenic\torganism,\tNSAIDs).\nNoninvasive\tm... | [
0.02721051499247551,
-0.006163723301142454,
0.026068201288580894,
-0.000908609596081078,
-0.08326925337314606,
-0.0006403930601663888,
0.10054681450128555,
0.03553607314825058,
0.02022254653275013,
0.05733931437134743,
0.09590274840593338,
0.015026429668068886,
0.04372185841202736,
0.06693... |
H.\tpylori\n\tinclude\ta\tblood\ttest\tfor\t\nH.\tpylori\n\tantibodies,\ta\turea\nbreath\ttest,\tor\ta\tstool\tantigen\ttest.\t\nEndoscopy\n\tis\ta\tcommon\tinvasive\tdiagnostic\ttool\t(see\t\nFocus\tOn:\nEndoscopy\tand\tCapsules\n\tfor\tmore\tdetails\tabout\tthis\tprocedure).\tAntibiotics\tand\tPPIs\tare\tthe\tprimary... | [
-0.0027639318723231554,
-0.04608060419559479,
0.02151377871632576,
-0.022195078432559967,
-0.08442091941833496,
-0.0051973070949316025,
0.10903530567884445,
0.035914335399866104,
0.0023196337278932333,
0.02665596641600132,
0.11603377759456635,
-0.022853819653391838,
0.036771442741155624,
0... |
medical\ttreatments.\nSide\teffects\tof\tchronic\tacid\tsuppression\teither\tfrom\tdisease\tor\tchronic\tuse\tof\tPPIs\tare\ta\tcurrent\ntopic\tof\tinterest\tin\tmedical\n\tresearch.\tFirst\tapproved\tin\t1989,\tPPIs\treduce\tgastric\tacid\tproduction\tby\nbinding\tirreversibly\tto\tthe\thydrogen/potassium\tATPase\tenz... | [
-0.02606889046728611,
-0.09784168004989624,
0.049418967217206955,
-0.014837163500487804,
-0.08485889434814453,
0.018777910619974136,
0.0484669953584671,
0.09335137903690338,
-0.0019389722729101777,
0.0444200374186039,
0.07042995095252991,
0.009905754588544369,
0.03510630875825882,
0.033719... |
one\tof\tthe\tmost\tcommonly\tprescribed\tmedications\tin\tthe\tUnited\tStates.\tWhile\tthey\tare\tgenerally\nwell-tolerated\tmedications\tand\tare\tconsidered\tsafe,\tthere\thave\tbeen\tsome\temerging\tconcerns\nregarding\tlong-term\tuse\tover\tthe\tpast\n\tseveral\tyears.\tThis\tis\tespecially\ttrue\tfor\tthose\ttaki... | [
0.05272872745990753,
-0.047750893980264664,
0.06998434662818909,
-0.03881830349564552,
-0.08514764904975891,
0.00866682268679142,
0.08441952615976334,
-0.03449004143476486,
0.026164760813117027,
0.048197828233242035,
0.07534414529800415,
-0.04019792005419731,
0.06859710812568665,
0.0084115... |
several\tyears.\tThis\tis\tespecially\ttrue\tfor\tthose\ttaking\tthe\nmedication\tfor\tlonger\tthan\tintended,\tor\twhen\tno\tlonger\tindicated,\tas\tthey\tare\tnow\twidely\tavailable\nover\tthe\tcounter.\tA\tMayo\tClinic\treview\tfound\tthat\tthe\tassociation\tbetween\teach\tof\tthe\thealth\nconcerns\tand\tlong-term\t... | [
0.054137494415044785,
-0.03906326740980148,
0.07645972073078156,
-0.03906106576323509,
-0.13252833485603333,
-0.01049851905554533,
0.02964983694255352,
-0.02775130607187748,
0.003064019838348031,
0.0687805786728859,
0.10377561300992966,
-0.017774824053049088,
0.03236641362309456,
0.0031556... |
association.\tFor\thypomagnesemia,\tvitamin\tB\n12\n\tdeficiency,\n\tand\tsmall\tintestinal\tbacterial\tovergrowth\n(SIBO)\tthe\tassociation\tis\t\nlikely\tcausative,\n\twhereas\tcommunity\tacquired\tpneumonia\t(CAD)\tis\t\nunlikely\ncausative,\n\tand\tbone\tfractures,\t\nClostridium\tdifficile\n\tinfection,\tchronic\t... | [
0.04724467545747757,
-0.059836495667696,
0.03990120440721512,
0.004980416037142277,
-0.10381843149662018,
0.06013592705130577,
0.05851532146334648,
0.030767055228352547,
0.004208673257380724,
0.07623252272605896,
0.11502617597579956,
-0.025113258510828018,
-0.023277340456843376,
0.04001996... |
have\tan\t\nunclear\tassociation\n\t(\nNehra\tet\tal,\t2018\n).\tSee\t\nAppendix\t13\n\tfor\tnutrients\tof\tconcern\tfor\tthose\ntaking\tthese\tmedications.\nPeptic\tulcers\nEtiology\nNormal\tgastric\tand\tduodenal\tmucosa\tis\tprotected\tfrom\tthe\tdigestive\tactions\tof\tacid\tand\tpepsin\tby\nthe\tsecretion\tof\tmuc... | [
0.03855108097195625,
-0.0438024066388607,
0.022608088329434395,
-0.003739824751392007,
-0.09876512736082077,
0.004415020812302828,
0.07948552817106247,
0.002013757359236479,
0.016353225335478783,
0.026062043383717537,
0.1080787405371666,
-0.04258585348725319,
0.04423268139362335,
0.0397677... |
flow,\tand\tthe\trapid\trenewal\tand\trepair\tof\tepithelial\tcell\tinjury.\t\nPeptic\tulcer\tdisease\n\toccurs\twhen\nopen\tsores\t(peptic\tulcers)\tform\tas\ta\tresult\tof\tthe\tbreakdown\tof\tthe\tnormal\tdefense\tand\trepair\nmechanisms,\n\tand\tare\tdifferentiated\tas\teither\tgastric\tor\tduodenal,\tdepending\ton... | [
0.014199821278452873,
-0.042020659893751144,
0.052932627499103546,
-0.05877448990941048,
-0.13193076848983765,
-0.011747748591005802,
0.09254524111747742,
-0.01817675121128559,
0.02279559150338173,
0.03200347721576691,
0.09331320971250534,
-0.04501948133111,
0.012493791989982128,
0.0242600... |
more\tthan\tone\tof\tthe\tmechanisms\tmust\tbe\tmalfunctioning\tfor\tsymptomatic\tpeptic\tulcers\tto\tdevelop.\nPeptic\tulcers\ttypically\tshow\tevidence\tof\tchronic\tinflammation\tand\trepair\tprocesses\tsurrounding\tthe\nlesion.\nThe\tprimary\tcauses\tof\tpeptic\tulcers\tare\t\nH.\tpylori\n\tinfection,\tgastritis,\t... | [
0.026394717395305634,
-0.08365807682275772,
0.05607908219099045,
-0.02849884331226349,
-0.14714211225509644,
-0.022057652473449707,
0.10763616114854813,
0.00038359538302756846,
0.005575783085078001,
0.07748871296644211,
0.11085318773984909,
-0.04436758905649185,
0.03725206479430199,
0.0235... |
H.\tpylori\n\tinfection,\tgastritis,\tuse\tof\taspirin,\tother\tNSAIDs\nand\n\tcorticosteroids,\tand\tsevere\tillness\t(see\t\nStress\tUlcers\n\tlater\tin\tthis\tchapter\tand\t\nPathophysiology\nand\tCare\tManagement\tAlgorithm:\n\tPeptic\tUlcer\n).\tLife\tstress\tmay\tlead\tto\tbehaviors\tthat\tincrease | [
0.02094227448105812,
-0.06220434978604317,
0.05532083660364151,
-0.013934616930782795,
-0.11081261932849884,
0.030721964314579964,
0.11802853643894196,
0.02502119168639183,
-0.010262208990752697,
0.05507452413439751,
0.1287604421377182,
-0.04670106619596481,
0.003487322246655822,
0.0216181... |
Peptic\tUlcer\n).\tLife\tstress\tmay\tlead\tto\tbehaviors\tthat\tincrease\npeptic\tulcer\trisk.\tAlthough\texcessive\tuse\tof\tconcentrated\tforms\tof\tethanol\tcan\tdamage\tgastric\nmucosa,\tworsen\tsymptoms\tof\tpeptic\tulcers,\tand\tinterfere\twith\tulcer\thealing,\talcohol\tconsumption\tin\nmoderation\tdoes | [
0.020255889743566513,
-0.11443617194890976,
0.0434197336435318,
-0.02255457267165184,
-0.1049128994345665,
0.008294116705656052,
0.09657137840986252,
-0.010437422432005405,
-0.00884953886270523,
0.03460592031478882,
0.11538071185350418,
-0.07667993009090424,
0.021859407424926758,
-0.009087... |
moderation\tdoes\n\tnot\tcause\tpeptic\tulcers\tin\thealthy\tpeople.\tUse\tof\ttobacco\tproducts\talso\tis\tlinked\nwith\tpeptic\tulcer\trisk\tbecause\ttobacco\tdecreases\tbicarbonate\tsecretion\tand\tmucosal\tblood\tflow,\nexacerbates\tinflammation,\tand\tis\tassociated\twith\tadditional\tcomplications\tof\t\nH.\tpylo... | [
0.02210184372961521,
-0.07093419134616852,
0.03440359607338905,
-0.012363655492663383,
-0.10417528450489044,
-0.00022088638797868043,
0.14161571860313416,
0.007690776605159044,
-0.024374959990382195,
0.06538238376379013,
0.16540242731571198,
-0.06459593027830124,
0.025686072185635567,
0.02... |
H.\tpylori\n\tinfection.\nOther\trisk\tfactors\tinclude\tgastrinoma\tand\tZollinger-Ellison’s\tsyndrome\t(see\t\nChapter\t28\n).\n\t\nFocus\tOn | [
-0.016011957079172134,
0.0035299956798553467,
-0.009552733972668648,
-0.016763532534241676,
-0.06593848764896393,
0.02968001738190651,
0.105228491127491,
0.012383736670017242,
-0.007007405627518892,
0.016206152737140656,
0.13627256453037262,
-0.0850944072008133,
-0.028458047658205032,
0.04... |
Endoscopy\tand\tCapsules\nThe\tesophagogastroduodenoscopy\t(EGD)\tprocedure\tallows\tthe\tmucosa\tof\tthe\tupper\ngastrointestinal\t(GI)\ttract\tto\tbe\tviewed,\tphotographed,\tand\tbiopsied.\tAlso\tknown\tas\tan\tendoscopy,\nthe\tprocedure\tinvolves\tinsertion\tof\ta\tflexible\ttube\tinto\tthe\tesophagus\twith\ta\tlig... | [
-0.018262874335050583,
-0.019653895869851112,
0.06012098863720894,
0.0036210152320563793,
-0.06120232492685318,
-0.047589611262083054,
0.10757824033498764,
0.030549947172403336,
0.015079093165695667,
0.03282582014799118,
0.14035139977931976,
-0.0010969253489747643,
0.020213477313518524,
0.... |
the\tdistal\tend.\tIt\tcan\tbe\tpassed\tthrough\tthe\tesophagus\tand\tinto\tthe\tstomach\tor\tupper\tsmall\nbowel.\tInflammation,\terosions,\tulcerations,\tchanges\tin\tthe\tblood\tvessels,\tand\tdestruction\tof\nsurface\tcells\tcan\tbe\tidentified.\tThese\tchanges\tcan\tthen\tbe\tcorrelated\twith\tchemical,\thistologi... | [
0.0014509340981021523,
-0.026261448860168457,
0.04759300500154495,
-0.026573071256279945,
-0.12552283704280853,
-0.023639699444174767,
0.06185361370444298,
-0.036593228578567505,
0.06233542412519455,
0.0853944718837738,
0.10105974972248077,
-0.044853031635284424,
0.026399364694952965,
0.04... |
and\tclinical\tfindings\tto\tformulate\ta\tdiagnosis.\tThis\tmay\tbe\tuseful\twhen\tphysicians\tsuspect\tcertain\nconditions,\tsuch\tas\tcomplicated\tgastroesophageal\treflux\tdisease\t(GERD)\tstrictures,\tBarrett’s\nesophagus\t(BE),\n\tesophageal\tvarices,\tor\tgastroduodenal\tulcers\tor\tceliac\tdisease. | [
0.06549405306577682,
-0.07056878507137299,
0.029293766245245934,
-0.02195325866341591,
-0.12216164916753769,
-0.04418009892106056,
0.015082270838320255,
0.013042736798524857,
0.012799066491425037,
0.03939099237322807,
0.08806801587343216,
-0.018957268446683884,
0.03069591335952282,
0.03615... |
esophageal\tvarices,\tor\tgastroduodenal\tulcers\tor\tceliac\tdisease.\nEGD\talso\tcan\tbe\tused\tfor\ta\tnumber\tof\ttherapeutic\tpurposes,\tsuch\tas\tcauterization\tat\tulcer\tsites,\ndilation\tor\tdeployment\tof\tstents\tin\tareas\tof\tstricture,\tand\tplacement\tof\tpercutaneous\tfeeding\ntubes.\tEndoscopy\tmay\tbe... | [
-0.017592960968613625,
-0.0196892898529768,
0.04613481089472771,
-0.011546785943210125,
-0.08288314938545227,
-0.02548968233168125,
0.0631723701953888,
0.01060867216438055,
-0.018294911831617355,
0.00026553802308626473,
0.12325073778629303,
0.018402811139822006,
0.0573098361492157,
0.02426... |
gastritis\tbecause\tof\tthe\tpossibility\tthat\tthey\n\twill\tdevelop\tpremalignant\tlesions\tor\tcarcinoma.\nCapsule\tendoscopy\tcan\tbe\tused\tto\tview\tsegments\tof\tthe\tGI\ttract\tthat\tare\tnot\taccessible\tby\nstandard\tEGD,\tto\tscreen\tfor\tabnormalities\tor\tbleeding,\tcheck\tpH,\tand\tmeasure\tthe\ttime\tit\... | [
-0.007465273141860962,
-0.06712005287408829,
0.04028446972370148,
-0.02134697325527668,
-0.08245975524187088,
-0.02047470025718212,
0.1214287057518959,
0.03725481405854225,
0.008835484273731709,
0.028134481981396675,
0.08724772185087204,
0.02761460468173027,
0.06031448766589165,
0.06958036... |
to\tpass\tthrough\tdifferent\tsegments\tof\tthe\tGI\ttract.\tIn\tthis\tprocedure,\tcapsules\tcontaining\ta\nminiaturized\tvideo\tcamera,\tlight,\tand\tradio\ttransmitter\tthat\tcan\tbe\tswallowed\n\tand\tthe\tsignal\ntransmitted\tto\ta\treceiver\tworn\ton\tthe\twaist\tof\tthe\tpatient,\tallowing\twireless\tcapsule\tend... | [
-0.02431425079703331,
-0.016459183767437935,
0.018630437552928925,
-0.04217779263854027,
-0.12089395523071289,
-0.011618300341069698,
0.08239101618528366,
0.01338061224669218,
0.015034747309982777,
0.008537441492080688,
0.10473166406154633,
0.022956546396017075,
0.06952451169490814,
0.0257... |
The\tprocedure\tis\tless\tinvasive\tthan\tnormal\tendoscopy\tand\tprovides\tthe\tadvantage\tof\tbeing\table\tto\nobserve,\trecord,\tand\tmeasure\tGI\tfunction\tas\tthe\tpatient\tis\tambulatory.\nUnfortunately,\tthe\timages\tfrom\tcapsule\tendoscopy\tcan\tbe\tblurred\tby\trapid\tintestinal\ttransit\tor\nlimited\tin\tnum... | [
0.014589340426027775,
-0.046767495572566986,
0.05160108208656311,
-0.028823725879192352,
-0.1243884265422821,
-0.004932126495987177,
0.07859430462121964,
0.04248528927564621,
0.013991893269121647,
0.04650653526186943,
0.11408516019582748,
0.028318872675299644,
0.06009319797158241,
0.055148... |
limited\tin\tnumber\tafter\n\tbattery\tfailure\tin\tcases\tof\tslow\ttransit.\tIn\taddition,\treviewing\tthe\nthousands\tof\timages\tobtained\tafter\teach\tcapsule\tendoscopy\tcan\tbe\tvery\ttime\tconsuming.\nPrototypes\tof\tthe\tnewest\tgeneration\tof\tcapsule\tendoscopy\tallow\tthe\tphysician\tto\tmagnetically | [
-0.03024319000542164,
-0.09780113399028778,
0.05811240151524544,
-0.026407228782773018,
-0.10265737771987915,
0.011431206949055195,
0.06934107840061188,
0.03843070939183235,
-0.015276610851287842,
0.03373187780380249,
0.10546746850013733,
0.03027774952352047,
0.03546158969402313,
0.0593484... |
guide\tthe\tcapsule\tto\ta\tspecific\tlocation\tby\thaving\tthe\tpatient\tlie\ton\ta\tspecial\ttable.\tFuture\ngenerations\tof\tcapsule\tendoscopy\tare\ton\tthe\tdrawing\tboards\n\tto\thopefully\tallow\ttherapeutic\nmeasures\tto\tbe\taccomplished\tin\tthe\tsmall\tbowel\tvia\tcapsule\tendoscopy. | [
-0.031443092972040176,
-0.057161904871463776,
0.0607481524348259,
-0.025791723281145096,
-0.1399238407611847,
-0.0238764937967062,
0.04430749639868736,
0.029249027371406555,
-0.0038563229609280825,
-0.016029126942157745,
0.09318330138921738,
0.029658038169145584,
0.057430200278759,
0.06871... |
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