Clin Med
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This is a report of a Royal College of Physicians-sponsored study visit to the U. K. The 'Taking knowledge overseas' scheme enables promising, talented and motivated physicians to have access to high-quality postgraduate educational experience early in their career which will stimulate learning and encourage them to share good practice and knowledge on their return home. By the end of 2008, 26 doctors from low-income countries had benefited from the programme.
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Gastro-oesophageal reflux disease results from impaired function of the LOS and acid clearance of the distal oesophagus. Most patients do not require investigation and respond either to lifestyle changes, antacid/alginates, H2A, PPI or a combination of these treatments. Surgery is only rarely indicated.