GERD Flashcards
Physiologic reflux episodes typically occur when?
Postprandially, are short lived and rarely occur during sleep
Pathologic reflux is associated with what?
Mucosal injury and often occurs nocturnally
How many patients with GERD have abnormalities on endoscopy?
1/3
What structure plays a vital role in the frequency and severity of GERD?
Lower esophageal sphincter
What foods exacerbate GERD?
Spicy, acidic, salty food and alcohol
When does heart burn occur?
30-60 minutes after meals and upon bending over or reclining
How do patients relieve their heartburn?
Antacids or baking soda
Dysphagia occurs in how many patients with GERD?
1/3
What could cause dysphagia in patients with GERD?
Erosive esophagitis, abnormal esophageal peristalsis or esophageal stricture
What are some complications of GERD?
Barret Esophagus
What percentage of patients get Barret’s Esophagus due to chronic reflux?
10%
Peptic structure occurs in what percentage of patients with esophagitis?
5%
Conservative therapies for GERD
Eat smaller meals
Avoid acidic foods
Eliminate foods that precipitate reflux
Weight loss
How long should patients with GERD avoid laying down after meals?
Avoid laying down 3 hours after meals, elevate head 6 inches
Do antacids prevent GERD?
Nope, just provides symptom relief
