Gastro-Oesophageal Reflux Disease

Question 1

What are the risk factors for GORD?

Answer 1

• FHx
• Older age
• Hiatus hernia
• Obesity
• Stress
• EtOH
• NSAIDs
• Smoking
• Lower oesophageal sphincter tone-reducing drugs (B-agonist, nitrates)

Question 2

What are likely findings on history in patients with GORD? What other cause is it especially important to consider?

Answer 2

• Heartburn
• Acid reflux

Question 3

What are the principles of management of GORD?

Answer 3

• Symptom control
  
  • PPI trial
• Surgical intervention (if symptom control is good but medications unwanted)
  
  • Fundoplication