Gastro oesophageal reflux

Question 1

What is GORD characterised by?

Answer 1

Recurrent regurgitation or vomitting following feeds

Question 2

Major complication of GORD

Answer 2

Failure to thrive from severe vomiting

Question 3

Name 3 complications of GORD

Answer 3

1. Failure to thrive
2. Pulmonary aspiration
3. Oesophagitis - haematemesis/ Heart burn

Question 4

Ix of GORD (2)

Answer 4

1. 24 hour PH monitoring to quantify the degree of acid reflux
2. Endoscopy with Oesophageal biopsy

Question 5

Mx of GORD (2)

Answer 5

1. Alginates
2. PPI or Ranitadine ( if signs of severe GORD)
3. Thickening agents to food
4. Head 30 degrees after feeds

Question 6

Surgical management

Answer 6

Nissen fundoplication