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On one of those pleasant cold February mornings, Sanjay Nandrajog, the Chief Executive Officer of FieldFresh Foods Private Limited, pondered the future. He had just

On one of those pleasant cold February mornings, Sanjay Nandrajog, the Chief Executive Officer ofFieldFresh FoodsPrivate Limited, pondered the future. He had just returned to Delhi from the company's Agri Centre of Excellence (ACE), an R&D farm where he celebrated the dispatch of 500 metric tons of fresh baby corn to Europe. The top management team at FieldFresh was justifiably proud of this achievement as it had required tremendous effort to become an important exporter of Indian produce.

1 Please explain the role of the sympathetic nervous system in the gastrointestinal tract.

2 What is the difference between a submandibular salivary gland swelling and swelling of a salivary lymph node?

3 How does Barrett's oesophagus develop?

4 Is it recommended to treat asymptomatic endoscopically diagnosed reflux oesophagitis with acid suppression and/or antireflux measures?

5 Is it recommended to give a young patient, diagnosed endoscopically to have mild reflux oesophagitis, life-long proton pump inhibitors (PPIs) to prevent the development of Barrett's oesophagitis?

6 Is it safe to give a patient with reflux oesophagitis who is on proton pump inhibitors (PPIs) for treatment of acid suppression, aspirin in antiplatelet doses (75-325 mg per day)?

7 Does a combination of magnesium and aluminium hydroxide salts, taken as antacid for reflux oesophagitis, have serious long-term adverse effects?

8 In the treatment of reflux oesophagitis with a proton pump inhibitor (PPI), should the PPI be life long or given for 4-8 weeks, as mentioned by the drug manufacturers?

9 Would a patient who suffers with reflux oesophagitis as a result of a hiatus hernia, and who is not responsive to proton pump inhibitors (PPIs), benefit from a highly selective vagotomy?

10 1. What are the causes of belching and what appropriate drug can be used? 2. What are the effects of smoking on the gastrointestinal tract and what is its role in peptic ulcer disease?

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