GORD

Question 1

Complications of GORD

Answer 1

Oesophageal inflammation/oesophagitis

Ulceration

Haemorrhage

Stricture formation

Anaemia

Aspiration pneumonia

Barrett’s oesophagus

Question 2

What is non-erosive GORD?

Answer 2

Normal endoscopy but symptoms suggestive of GORD

Question 3

What is erosive GORD?

Answer 3

Mucosal lesions/ oesophagitis apparent on endoscopy

Question 4

1st line for endoscopy confirmed GORD?

Answer 4

PPI for 4-8 weeks

Question 5

2nd line for endoscopy confirmed GORD?

Answer 5

H2 receptor antagonist

Question 6

Treatment for severe oesophagitis?

Answer 6

8 weeks PPI

Question 7

Options if no response to 1st and 2nd line treatment for endoscopy confirmed GORD?

Answer 7

Add another month of PPI treatment, double the original PPI dose for another month, or add h2 receptor antagonist for nocturnal symptoms/ when required

Question 8

When is long-term maintenance recommend in GORD?

Answer 8

If patient diagnoses with endoscopy confirmed severe oesophagitis

Question 9

1st line therapy for GORD in pregnancy?

Answer 9

Lifestyle advice

Question 10

2nd line therapy for GORD in pregnancy?

Answer 10

Antacid and alginate

Question 11

3rd line therapy for GORD in pregnancy?

Answer 11

Omeprazole