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Conditions: GI > GORD > Flashcards

Flashcards in GORD Deck (16):
1

What are the main causes of GORD?

Pregnancy

Obesity

Gastritis

Hiatus hernia

Achalasia

H. Pylori

A big meal

2

What is GORD?

Dyspepsia from acid/bile damaging the lower oesophageal mucosa

3

What are the symptoms of GORD?

Heartburn

Water brash

Cough

Inability to get to sleep
- Worse on lying down

Odynophagia

4

What is water brash?

Excessive salivation

5

What causes odynophagia with GORD?

Oesophagitis

6

Complications of GORD?

Oesophagitis

BARRETT'S OESOPHAGUS
- Therefore oesophageal adenocarcinoma too

Ulcers

7

DDx?

Corrosive oesophagitis

Infection

DU and GU

Gastric cancer

8

Tests?

Usually not required in isolated cases

Endoscopy (follow protocol)

24hr oesophageal pH monitoring +/- oesophageal manometry

9

What is the indications for endoscopy in GORD?

>55yrs

Symptoms >4weeks

ALARMS

Dysphagia

10

What treatment methods can be used?

Lifestyle changes

Pharma

Surgery

11

What lifestyle changes can be encouraged?

LOSE WEIGHT

Smoking cessation

Small regular meals

Avoid NSIADs

12

Pharma treatment in first 4 weeks?

Antacids
- Alginates
- Magnesium trisillicate

13

What pharma treatment should be employed if oesophagitis is confirmed?

PPI
- Lansoprazole
- Omeprazole

14

When is surgery indicated?

Severe symptoms

No improvement with treatment AND evidence of pH monitoring

15

What operation can be done?

Nissen fundoplication

16

In what population is GORD most common?

White males