esophageal disorders Flashcards
GERD can lead to some bad things what is a problem with getting people into the clinic?
people don’t really complain about it
risk factors
low saliva
hiatal hernia
LES dysfx
Obesity or Pregnancy
Delayed gastric emptying
Do most people with GERD have erosive esophagitis?
no
which responds bett er to PPIs, NERd or GERD
GERD
Bird’s beak
achalasia
Endoscopy helps determine if there is _______Esophagus
barret
Endoscopy negative patients can do what monitoring?
Ambulatory 24 hour pH monitoring
Transient lower esophageal relaxations
most common cause of acid exposure
do lifestyle changes cause much affect in reducing GERD?
no, only 20%
PPI during _____ and H2 at ____
PPI day, H2 night
main complications of GERD
erosizve, ulcerative esophagitis, peptic stricture, barrets, adenocma
