GASTROESOPHAGEAL REFLUX DISEASE (GERD)
GASTROESOPHAGEAL REFLUX DISEASE Also known as ACID REFLUX It is a condition in which stomach contents rise up into the esophagus - Incompetent LES(lower esophagus sphincter) causes GERD which may also lead to ADENO Carcinoma CLINICAL FEATURES: Epigastric pain Retrosternal heart burn Reflux and Dyspesia DIAGNOSIS IOC - Endoscopic + Biopsy For diagnosing - 24 hours PH monitoring - DE MEESTER'S SCORE <14.7 is normal and in case of GERD > 14.7 TREATMENT DOC - Proton pump inhibitor (PPI) TOC - Laparoscopic Fundoplication Nissen's - 360 Dor - 180 Anterior Taupet - 270 Posterior