GERD Flashcards

1
Q

Physiologic reflux episodes typically occur when?

A

Postprandially, are short lived and rarely occur during sleep

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2
Q

Pathologic reflux is associated with what?

A

Mucosal injury and often occurs nocturnally

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3
Q

How many patients with GERD have abnormalities on endoscopy?

A

1/3

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4
Q

What structure plays a vital role in the frequency and severity of GERD?

A

Lower esophageal sphincter

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5
Q

What foods exacerbate GERD?

A

Spicy, acidic, salty food and alcohol

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6
Q

When does heart burn occur?

A

30-60 minutes after meals and upon bending over or reclining

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7
Q

How do patients relieve their heartburn?

A

Antacids or baking soda

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8
Q

Dysphagia occurs in how many patients with GERD?

A

1/3

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9
Q

What could cause dysphagia in patients with GERD?

A

Erosive esophagitis, abnormal esophageal peristalsis or esophageal stricture

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10
Q

What are some complications of GERD?

A

Barret Esophagus

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11
Q

What percentage of patients get Barret’s Esophagus due to chronic reflux?

A

10%

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12
Q

Peptic structure occurs in what percentage of patients with esophagitis?

A

5%

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13
Q

Conservative therapies for GERD

A

Eat smaller meals
Avoid acidic foods
Eliminate foods that precipitate reflux
Weight loss

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14
Q

How long should patients with GERD avoid laying down after meals?

A

Avoid laying down 3 hours after meals, elevate head 6 inches

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15
Q

Do antacids prevent GERD?

A

Nope, just provides symptom relief

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16
Q

What is the main medication of choice for GERD?

A

PPI
Omeprazole
Pantoprazole
Esomeprazole