GERd

Question 1

Max of gerd

Answer 1

1. Behavioural
   Avoid late meals (3hours before lying down)
   Left lateral decubitus position
   Elevated head of the bed
   Weight loss
   smoking cessation

Standard dose PPI (8weeks) or vonoprazan 10mg daily (4weeks) then assess, if resolved taper and sisconyinue, if not reinforce lifestyle

Question 3

Indications for initial endoscopy in a pt with acid reflux (9)

Answer 3

Onset >60
Evidence of gastro bleeding (haematemesis, melena)
Dyspepsia
Odynophaga
Unexplained LOW
1st degree relative with gastric malignancy
Iron deficiency anaemia
Anorexia
Persistent vomiting

Question 4

Screening criteria for Barrett’s oesophagitis

Answer 4

Chronic GERD (at.east 5yrs persistent symptoms) + 3 of ff
Age >50
Male
Obesity
Tobacco
1st degree relative with
Non Hispanic white individuals