Oesophagus and Stomach

Oesophagus and Stomach

Gastro Oesophageal Reflux Disease (GORD)


Pathology:                    Oesophagitis, gastritis or duodenitis due to reflux


Aetiology:                     Laxity of lower oesophageal sphincter tone, H. pylori infection


Symptoms:                   Dyspepsia, acid brash, odynophagia, dysphagia


Signs:                                Dysphagia                                                              


Investigations:           OGD: Gastritis, Oesophagitis, malignancy

                                            Barium Swallow:irregularity of oesophageal mucosa reflux of barium


Treatment:                  Conservative: Lifestyle advice

                                          Medical: Antacids, PPI, H2 receptorantagonist, pro-kinetic medications

Surgical: Nissen Fundoplication


Complications:         Ulceration,benign stricture, Barrett’s oesophagus, Oesophagitis, anaemia, bleeding


Prognosis:                     Poor prognosis with 10 year history of GORD, high risk of Barrett’soesophagus

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