GORD Flashcards
1
Q
what is GORD?
A
reflux of gastric acid, bile and pepsin into the lower oesophagus
2
Q
aetiology?
A
- anything which causes an increase in intra-abdominal pressure
- hiatus hernia (renders the LOS incompetent)
3
Q
Risk Factors?
A
- pregnancy
- obesity
- alcohol
- hypomotility
4
Q
Pathology?
A
reflux of acid / bile / pepsin into oesophagus causes erosion of the mucosa
5
Q
complications?
A
- ulceration
- healing by fibrosis –> stricture formation
- glandular metaplasia –> Barrett’s Oesophagus
- carcinoma
6
Q
symptoms?
A
- heartburn
- dysphagia
- cough
- water brash
- sleep disturbance
7
Q
tests?
A
- upper GI endosocpy if red flag features ie weight loss, dyspahgia, anaemia
- if not, can diagnose through history & symptoms alone
8
Q
treatment?
A
medical:
- antacids
- h2 receptor antagonist
- PPI
surgical:
fundoplication
