GORD and Dysmotility Flashcards Preview

JL Gastrointestinal > GORD and Dysmotility > Flashcards

Flashcards in GORD and Dysmotility Deck (18):
1

What does an incompetent lower oesophageal sphincter, poor oesophageal clearance nad barrier function/visceral sensitivity cause?

GORD

2

What are heartburn. acid reflux, waterbrash, dysphagia and odynophagia symptoms of?

GORD

3

What are 4 investigations for GORD?

1. Endoscopy
2. Barium swallow
3. Oesophageal manometry and pH studues
4. Nuclear studies

4

What two carcinomas can result from GORD?

Oesophageal carcinoma
Oesophageal adenocarcinoma

5

What are the two pathogenetic steps between a normal oesophagus and an adenocarcinoma?

Oesophagitis and Barrett's

6

What is the main type of drugs used for GORD?

Antacids

7

What is the one class of drugs to treat GORD - begins with H?

H2 antagonists

8

Name two H2 antagonists?

1. Cimetidine
2. Ranitidine

9

Name two PPI?

Omeprazole
Lansoprazole

10

What is the name of the surgery for severe/unresponsive GORD?

Nissen fundoplication

11

What is an irreversible result of GORD, occurs in 10% of GORD patients and involves intestinal metaplasia?

Barrett's oesophagus

12

What are 4 methods of dysplasia management?

1. Optimise PPI dose
2. Endoscopic mucosal resection
3. Radiofrequency ablation (HALO)
4. Argon

13

What are two types of hiatus hernia?

Sliding hiatus hernia
Paraoesophageal hiatus hernia

14

What is gastroparesis?

Delayed gastric emptying

15

What is one clinical symptom of gastroparesis?

Feeling of fullness

16

What are 4 causes of gastroparesis?

1. Diabetes mellitus
2. Cannabis
3. Medication (opiates, anticholinergics)
4. Systemic sclerosis

17

What investigation is done for gastroparesis?

Gastric emptying studies

18

What are these management options form: removal of precipitating factors, liquid/sloppy diet, eat little and often, promotility agents and gastric pacemaker?

Management of gastroparesis