GORD, Gastroparesis, Achalasia Flashcards Preview

GastroIntestinal (GI) > GORD, Gastroparesis, Achalasia > Flashcards

Flashcards in GORD, Gastroparesis, Achalasia Deck (18):
1

What does GORD stand for?

Gastro-oesophageal reflux disease

2

Why does reflux occur?

Incompetent Lower oesophageal sphincter
Poor oesophageal clearance
Impaired Barrier function (e.g. muscus) leads to Visceral sensitivity and ulceration

3

What are the symptoms of GORD?

Heart burn
Weight loss
Acid reflux
Chest pain
Waterbrash
Hoarseness
Dysphagia
Coughing
Odynophagia - painful swallowing

4

Investigation for GORD?

Endoscopy
Barium swallowing testing
Oesophageal manometry - measure pressure of sphincter
pH studies
Nuclear studies

5

What are the alarming symptoms for GORD that require investigations?

Dysphagia
Weight loss
Anaemia
Vomiting
Barret's
UGI cancer

6

What are complications of GORD?

Oesophagitis
Ulcers
Benign stricture
Barretts
Iron deficiency

7

What are the treatments for GORD?

Antacids
H2 - histamine antagonists (Ranitidine )
PPI - Proton pump inhibitors (Omeprazole)

8

What are examples of H2 antagonists?

Cimetidine
Ranitidine

9

What drug helps heal the errosion from GORD?

Omeprazole

10

Other than pharmacological treatment, what other treatments are there?

Surgery that tightened the LOS
(Nissen Fundoplication)

11

What is the management for dysplasia (per-cancerous patients) ?

Optimise PPI
Endoscopic mucosal resection
Abalation

12

What is Gastroparesis?

A stomach that doesn't empty

13

What are the symptoms of gastroparesis?

Feeling full
Nausea
Vomiting
Weight loss
Abdominal pain

14

What are the causes of gastroparesis?

Diabetes
Cannabis
Medications (opiates)

15

What investigations are used for Gastroparesis?

Gastric emptying studies

16

How is gastroparesis managed?

Liquidise food
Eat little and often
Gastric pacemaker

17

What is Achalasia?

The LOS is in spasm

18

What is the treatment for achalasia?

Injection of botox