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Gastroesophageal reflux disease (GERD)

Posted at February 24, 2011 | By : | Categories : Articles | 0 Comment

Gastroesophageal reflux disease (GERD) or acid reflux disease is a condition in which gastric contents reflux or regurgitate into the esophagus.

GERD is considered as the most common disorder in the esophagus.

Causes and risk factors:

1- Obesity

2- Smoking

3- Pregnancy

4- Hiatus hernia

5- Diseases as Diabetes, Asthma, Scleroderma

6- Drugs as Anticholinergics, B blockers, Ca channel blockers, Nitrates

7- Food as fat, peppermint, chocolate

Signs and Symptoms:

1- Heart burn

2- Chest pain similar to angina pain

3- Dysphagia or odynophagia

4- Nausea

5- GIT bleeding

6- Cough, hoarseness of voice, sore throat

Diagnosis:

1- Proper history

2- Upper endoscopy

3- PH monitoring

4- Esophageal manometry

5- X-ray or barium study

Complications:

1- Esophageal stricture

2- Esophageal ulceration

3- Barrett’s esophagus

4- Laryngitis, chronic cough, bronchospasm

Treatment:

Lifestyle measures:

1- Raising the head of the bed

2- Avoiding foods that trigger the symptoms

3- Eating small frequent meals

4- Maintaining healthy weight

5- Avoiding tight clothes around the abdomen

6- Smoking cessation

Medications:

1- Antacids

2- H2 Blockers

3- Proton pump inhibitors

4- Prokinetics

Surgery:

1- Nissen fundoplication

2- EndoCinch endoluminal gastroplication

3- Stretta system


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