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
