GORD Flashcards
1
Q
GORD
A
reflux of stomach acid into the oesophagus due to an incompetent LOS
2
Q
signs
A
dyspepsia: heart burn acid regurgitation burping epigastric pain cough
3
Q
investigations
A
trial of PPI
endoscopy:
- concerning features suggesting ulcer, oesophageal motility disorder or maligancy
test for H.pylori
manometry
urgent-2 week referral for ALARM signs
4
Q
ALARM signs
A
anaemia weight loss persistent vomiting haematemesis dysphagia not responding to treatment
5
Q
management
A
life style advice:
- avoid coffee, smoking
- better diet
- lighter meals
gaviscone
PPI
6
Q
complications of GORD
A
Barrett’s oesphagus
7
Q
barrett’s oesophagus
A
type of metaplasia where squamous epithelium is replaced with columnar epithelium
metaplasia - endoscopic surveillance
dysplasia - endoscopic biopsies
complication:
adenocarcinoma
8
Q
what is important regarding PPIs and upcoming endoscopy appointment
A
stop PPIs two weeks before