GORD Flashcards
GORD
Gastro-oesophageal reflux disease
Incompetent LOS
Poor oesophageal clearance
Visceral sensitivity
Symptoms
Heartburn Acid reflux Dysphagia Weight loss Chest pain Hoarseness Coughing Odynophagia
Investigation
Endoscopy
Ba Swallow
Oesophageal manometry + pH studies
Nuclear studies
Management
Symptom relief
Healing oesophagitis
Prevent complications
Antacids
Symptomatic relief
No healing benefit or preventing of complicatipns
H2 antagonists
Cimetidine
Rapid symptom relief
Surgery
Nisses Fundoplication
Controls symptoms
Heals oesophagitis
Gastroparesis
Delayed gastric emptying
No physical obstruction
Symptoms of gastroperesis
Feeling full Nausea Vomiting Weight loss Upper abdo pain
Causes of gastroperesis
Idiopathic, diabetes mellitus, cannabis, medication
Investigation for gastroperesis
Gastric emptying studies
Management of gastroperesis
Removal of precipitating factor
Liquid/sloppy diet
Eat little and often
Pro-motility agents
