Gastro

Gastro Oesophageal Reflux Disease (GORD)

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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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