Notes in 01_GORD

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Published 02/10/2024 Presentation of {{c2::Gastro-Oesophageal Reflux Disease (GORD)}}{{c1::Heartburn with retrosternal or epigastric pain}}{{c1::Dyspepsia (Indigestion)}} …
Published 02/10/2024 A major complication of GORD over time is {{c1::Barrett's oesophagus}}
Published 02/10/2024 {{c1::Barrett's oesophagus}} describes metaplasia of the normal {{c2::squamous}} epithelium of the lower oesophagus to {{c2::columnar}} epit…
Published 02/10/2024 {{c1::Barrett's oesophagus}} is a pre-malignant complication that occurs in patients who suffer with GORD for several years.
Published 02/10/2024 Malignancy associated with Barret's oesophagus is {{c1::Adenocarcinoma of the oesophagus}} 
Published 02/10/2024 Treatment of Barret's oesophagus is done via {{c1::EMR}} or {{c1::RFA}} for highly dysplastic lesions
Published 02/10/2024 Causes of {{c2::GORD}}{{c1::Oesophagitis}}{{c1::Sliding hiatus hernia}}{{c1::Paraesophageal (Rolling) hiatus hernia}}{{c1::Genetic inheritance of angl…
Published 02/10/2024 Risk factors of GORD:{{c1::Smoking}} {{c1::Excessive alcohol}} {{c1::Excessive coffee}} {{c1::Obesity}} {{c1::Pregnancy}}
Published 02/10/2024 Describe the pathophysiology of GORD:{{c1::Oesophageal mucosa is exposed to acid, pepsin and bile which leads to increased cell loss and regenerative …
Published 02/10/2024 Patients <55 yrs old without ALARMS symptoms proceed to {{c1::pharmacological treatment}} without {{c1::investigation}} 
Published 02/10/2024 Investigations that patients {{c2::>55}} yrs old with GORD or that have {{c2::ALARMS::Mnemonic}} symptoms undergo include:{{c1::endo…
Published 02/10/2024 Red Flag Symptoms of GORD Remembered as {{c1::ALARMS}}{{c1::Anaemia}}{{c1::Loss of weight}}{{c1::Anorexia}}{{c1::Recent onset of progressive symp…
Published 02/10/2024 {{c1::Endoscopy}} and {{c1::Biopsy}} is an investigation that should be done in GORD when there are {{c2::ALARMS symptoms}} that suggest malignan…
Published 02/10/2024 Treatment of GORD can commence without {{c1::investigation}} as long as there is absence of ALARMS symptoms
Published 02/10/2024 Lifestyle Treatment of GORD:[1] {{c1::Reduce tea, coffee and alcohol}} [2] {{c1::Weight loss}} [3] {{c1::Avoid smoking}} [4] {{c1::Smaller, lighter me…
Published 02/10/2024 Pharmacological Treatment of GORD: [First Line] {{c1::Proton pump inhibitors e.g. Omeprazole, Lansoprazole}} [Second Lines] {{c1::Histamine …
Published 02/10/2024 Surgical Treatment of GORD:{{c1::Laparoscopic fundoplication: involves tying the fundus of the stomach around the lower oesophagus to narrow the …
Published 02/10/2024 Types of Hiatus Hernia that Cause GORD{{c1::Sliding}} and {{c1::Para-oesophageal (Rolling)}} 
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