GERD

Question 1

For patients we suspect of GERD what do we prescribe?

Answer 1

Once daily proton pump inhib or twice daily H2 antagonist, for 4-6 weeks

Question 2

Why do we do an Upper Endoscopy?

Answer 2

To document the extend of the tissue damage

Question 3

After Upper endoscopy, how do we grade the extent of the damage?

Answer 3

The Los Angeles scale, from A-D, A being small one or two mucosal breaks smaller than 5mm

Question 4

What is Barrett’s esophagus?

Answer 4

A GERD complication, the squamous epithelium of the esophagus is replaced by metapkastic columnar epithelium

Question 5

What does endoscopy of Barrett’s reveal?

Answer 5

Orange, gastric type epithelium

Question 6

How do we treat Barrett’s?

Answer 6

Long term proton pump inhibitors, once or twice daily to manage symptoms

Question 7

What is the most serious complication of Barrett’s esophagus?

Answer 7

Esophageal adenocarcinoma

Question 8

What is the standard of care for Barrett patients?

Answer 8

Endoscopic therapy

Question 9

What relieves GERD?

Answer 9

Antacids

Question 10

What is the classification system for GERD?

Answer 10

LA system, score of A is least bad, score of D is worst