GORD and Dysmotility Flashcards
name three causes of GORD
incompetent LOS
poor oesophageal clearance
barrier function sensitivity
how does GORD present?
acid reflux dysphagia odynophagia weight loss chest pain hoarseness
what investigations are done for GORD?
endoscopy
barium swallow
oesophageal manometry
nuclear studies
what is a possible complication of GORD?
oesophageal cancer
what drugs can be given for symptom relief in GORD?
antacids
H2 antagonists
PPIs
name two H2 antagonists that can be given for GORD
cimetidine
ranitidine
what lifestyle changes can help GORD?
smoking cessation
weight loss
prop head up at night
avoid triggering foods
what is barrett’s oesophagus?
irreversible metaplasia of the epithelium of the oesophagus
what is there an increased risk of in barrett’s oesophagus?
adenocarcinoma
what is gastroparesis?
delayed gastric emptying with no physical obstruction
how does gastroparesis present?
satiety
N+V
weight loss
upper abdo pain
name two medications that can cause gastroparesis
opiates
anti cholinergics
how is gastroparesis investigated?
gastric emptying studies
