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Pathology
Oesophagitis, gastritis or
duodenitis due to reflux
Aetiology
Laxity of lower oesophageal
sphincter tone, H. pylori infection
Signs
Dysphagia
Symptoms
Dyspepsia, acid brash, odynophagia, dysphagia
Investigations
OGD: Gastritis, Oesophagitis, malignancy
Barium Swallow: irregularity of oesophageal mucosa reflux of barium
Treatment
Conservative: Lifestyle advice
Medical: Antacids, PPI, H2 receptor antagonist, pro-kinetic medications
Surgical: Nissen Fundoplication
Prognosis
Poor prognosis with 10 year history of GORD, high risk of Barrett’s oesophagus
Ulceration, benign stricture, Barrett’s oesophagus, Oesophagitis, anaemia, bleeding
Key Facts
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Key Images
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Key References
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