Esophageal Problems Flashcards
S/S of GERS
Dyspepsia(can mimic angina)Dysphagia
Belching
Pharyngitis
Non pharmacological interventions
Limit causative foods(caffeine,chocolate, fried foods, peppermints, carbonated beverages)
Small frequent meals(4-6)
Eat earlier in the evening
Elevate head of bed and sleep on right side
Maintain a healthy weight
Do not wear constructive clothing
Avoid heavy lifting and straining
Chew antiacids and follow with glass of water
Antacids
Decrease acidity of fluid in the stomach
Liquid form is best(coats esophagus on way to stomach)
Impacts absorption of certain nutrients
Histamine 2 blockers
Zantac
Decrease gastric acid secretion(weaker)
Proton pump inhibitors
Provide effective,long acting inhibition of gastric acid secretion
Inhibit absorption of calcium
Hiatal hernia
Structural change that cause the symptoms of heart burn and reflux
Sliding hernia
Too part of stomach slides up above layer of the diaphragm
Loosens the LES
not very dangerous
S/S:heartburn, regurgitation, chest pain, dysphagia, belching
Fundoplication
For sliding hiatal hernia
Seea top part of stomach together(makes it bigger)
Insets and artificial ring
It is a MIS, may go home the same day
Post operative fundoplication care
Soft diet for about a week
Remain on anti reflux meds as prescribed for atleast a month
No driving for a week
Report fever above 101
Walk everyday
Do not lift heavy weights
Esophageal cancer
Linked to smoking, obesity, highly processed foods and pickled foods
Metastasizes flurry quickly
Link that long term GERD changes formation of tissue(Barrett’s)
Barrett’s esophagus
An alteration in normal esophageal tissue(resulting from prolonged GERD)
S/S of esophageal cancer
Dysphagia Painful swallowing Chronic cough Hoarseness Weight loss
Nonsurgical intervention of esophageal cancer
Soft foods Thickened liquids Elevated while eating Eat with chin tuck Possible tube feeding Chemo and radiation Putting stents in the esophagus(palliative measure)
Esophagogastrectomy
Remove portion of esophagus that is infected with the tumor
May pull the stomach up and use piece of colon to link esophagus to stomach
Very complicated procedure that often leaks that causes a risk for infection
Zenkers diverticuli
Outpouring in esophagus that food can get caught in.
Occurs most often in elderly, although are not sure why it truly occurs(possible weakened swelling muscles)
S/S: bad breath and coughing
Can be surgically repaired but will need tube feeding for several weeks after surgery.
