PBL - GORD

Question 1

what is a hiatal hernia?

Answer 1

occurs when the upper part of stomach pushes up through the diaphragm towards and into the chest region. This causes a backflow of acid.

Question 2

3 causes of GORD

Answer 2

1. delayed gastric emptying
2. impaired oesophageal clearance
3. hiatal hernia

Question 3

name 3 sxs of GORD

Answer 3

• A burning sensation in your chest (heartburn), usually after eating, which might be worse at night
	• Chest pain
	• Difficulty swallowing (Dysphagia)
	• Regurgitation of food or sour liquid
Sensation of a lump in your throat

Question 4

what does a manometry measure?

Answer 4

the function of the lower oesophageal sphincter and the muscles of the oesophagus.

Question 5

what would normal results from a manometry test reveal?

Answer 5

closed sphincter - pressure 15mmHg

open/relaxed sphincter - pressure no less than 10mmHg

Question 6

what results would a manometry test reveal for a pt with GORD?

Answer 6

weakened closed sphincter pressure of <15mmHg

Question 7

how is a 24hr pH monitoring test done?

Answer 7

pt has throat catheter in

asked to keep a diary of sxs, when sitting down/up, when they eat

Question 8

why is a 24hr pH monitoring test done?

Answer 8

to check whether acid reflux is causing the sxs

Question 9

types of test done for GORD diagnosis

Answer 9

manometry
xray of upper GI - to rule out other causes
endoscopy
oesophageal pH monitoring

Question 10

what is laparoscopic fundoplication surgery ?

Answer 10

Sowing the top of the stomach and bottom of the oesophagus together to decrease the diameter of the bottom of the oesophagus to prevent acid from refluxing.