L1: GERD & Hiatus Hernia Flashcards
(98 cards)
1
Q
Def of GERD
A
2
Q
Incidence of GERD
A
3
Q
Symptoms of GERD may be due …..
A
4
Q
Anatomical Factors of GERD
A
5
Q
Lemgth of intra-abdomian esophagus & GERD
A
6
Q
Physiological Factors of GERD
A
7
Q
Other Factors of GERD
A
8
Q
Pathogenesis of GERD
A
9
Q
Typical Symptoms of GERD
A
10
Q
Retrosternal Pain in GERD
A
11
Q
Atypical Symptoms of GORD
A
12
Q
Dyshphagia in GERD
A
13
Q
Gastric Manifestation
- Atypical Symptoms of GORD
A
14
Q
Pulmonary Manifestation in GERD
- Atypical Symptoms of GORD
A
15
Q
ENT Symptoms
- Atypical Symptoms of GORD
A
16
Q
Cardiac Manifestations
- Atypical Symptoms of GORD
A
17
Q
what is Globus?
A
18
Q
Johnson-DeMeester’s scoring system
A
19
Q
Complications of GERD
A
20
Q
Categories of investigations for GERD
A
21
Q
Investigations for GERD to detect structural abnormality
A
22
Q
Flexible Endoscope
- Investigations for GERD to detect structural abnormality
A
23
Q
Barium Swallow
- Investigations for GERD to detect structural abnormality
A
24
Q
Investigations for GERD to detect Exposure to gastric juice
A
25
Investigations for GERD to detect Functional Abnormalitis
26
Investigations for GERD to detect Functional Abnormalitis
- Indication of **Esophagus manometry**
26
Grading of esophagitis by endoscopy.
27
Investigations for GERD to detect Functional Abnormalitis
- Findings in **Esophagus manometry**
28
Investigations for GERD to detect Functional Abnormalitis
- Indication of **24-Hour Ph Monitoring**
29
Investigations for GERD to detect Functional Abnormalitis
- Procedure of **24-Hour Ph Monitoring**
30
Investigations for GERD to detect Functional Abnormalitis
- Finding of **24-Hour Ph Monitoring**
31
GERD Phenotypes
32
Characters of **Refractory Esophagitis**
33
Characters of **Barrett's esophagus**
34
Algorithm in TTT of GERD
35
Managment lines of **GERD**
36
Lifestyle modification
- TTT of **GERD**
37
Indication of medical therapy
- TTT of **GERD**
38
Types of drugs
- TTT of **GERD**
39
Examples of PPI
- TTT of **GERD**
40
Indication of PPI
- TTT of **GERD**
41
Effect of PPI
- TTT of **GERD**
42
Dose of PPI
- TTT of **GERD**
43
MOA of PPI
- TTT of **GERD**
44
SE of PPI
- TTT of **GERD**
45
Examples of Prokinetic Drugs
- TTT of **GERD**
46
Use of Prokinetic Drugs
- TTT of **GERD**
47
MOA of Baclofen
- TTT of **GERD**
48
Dose of Baclofen
- TTT of **GERD**
49
SE of Baclofen
- TTT of **GERD**
50
For patients with classic GERD symptoms without alarm symptoms --->
an 8-week trial of empiric PPIs once daily before a meal is recommended.
51
ACG recommends attempting to discontinue the PPIs in patients whose classic GERD symptoms ...... to an 8-week empiric trial of PPIs.
respond
52
ACG recommend ........, in patients whose classic GERD symptoms do not respond adequately to an 8-week empiric trial of PPIs or whose symptoms return when PPIs are discontinued.
diagnostic endoscopy, ideally after PPIs are stopped for 2–4 weeks
53
ACG guidelines do not recommend ....... for GERD therapy except during pregnancy
sucralfate
54
ACG recommend PPI administration 30–60 minutes ...... a meal rather than at bedtime for GERD symptom control.
before
55
ACG guidelines suggest .......... for heartburn symptom control in patients with NERD
on-demand or intermittent PPI therapy
56
ACG recommend maintenance ......... for patients with LA grade C or D esophagitis.
PPI therapy indefinitely or antireflux surgery
57
ACG do not recommend baclofen in the absence of objective evidence of GERD.
.......
58
Indication of surgery
- TTT of GERD
59
Surgical TTT for GERD
60
Name of Anti-reflux procedure
61
Aim of fundoplication
62
Procedure of fundoplication
63
Operations of Anti-reflux procedures
64
Complications of Anti-reflux procedures
65
which anti-reflux procedure is the most common?
66
Advantages of **Laparoscopic Nissen's total fundoplication**
67
Precautions in Laparoscopic Nissen's total fundoplication
68
Procedure of **Belsey Mark IV operation**
69
Advamtages of Belsey Mark IV operation
70
TTT of recurrent GERD
71
Procedure of **Hill's repair**
72
Repair of GERD with HH
73
Bariatric Surgery for TTT of GERD
74
Endoluminal therapies for GERD
75
Plexiglass microspheres (PMMA)
76
Gatekeeper reflux repair system
77
Stretta catheter
78
Def of **Hiatal Hernia**
78
Enteryx injection technique
78
Anatomical factors which prevent sliding hernia
79
Types of **Hiatal Hernia**
79
Symptoms of **Hiatal Hernia**
80
Causes of **Sliding Hernia**
81
CP of **Sliding Hernia**
82
Investigations for **Sliding Hernia**
83
Finding of oesophagoscopy in **Sliding Hernia**
84
Barium meal in the Trendelenburg position
- Investigations for **Sliding Hernia**
85
TTT of **Sliding Hernia**
86
CP of **Rolling (Paraesophageal) Hernia**
87
Pathology of **Rolling (Paraesophageal) Hernia**
88
TTT of **Rolling (Paraesophageal) Hernia**
88
Investigations for **Rolling (Paraesophageal) Hernia**
88
Pathology of **Mixed Hernia**
89
Historical TTT of **Mixed Hernia**
89
TTT of **Mixed Hernia**
90
Complications of Healtal Hernia
91
Done
