4 - Tx of GERD Flashcards
1
Q
barium swallow for dx of GERD
A
NOT useful - very low (and variable) sensitivity, 20% pos in normal controls
2
Q
most accurate way to dx GERD
A
impedance-pH monitoring - detects reflux even if non-acid
3
Q
cytoprotective agents for GERD
A
not used that much anymore, but:
sucralfate (sucrose salt that binds to ulcerated sites)
misoprostol (prostaglandin analogue)
4
Q
which type of acid suppressor is more effective in healing ulcers?
A
PPI
5
Q
most effective (probably) PPI
A
esomeprazole
6
Q
surgical tx of GERD
A
fundoplication - basically wrap stomach around top part of itself to make another sphincter like barrier to reflux
