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GORD (Nutritional Strategies (Avoid individual triggers (Fatty foods,…
GORD
Aetiology
Stomach contents entering oesophagus
Chronic exposure can lead to:
Oesophagitis
Ulceration
Barrett's oesophagus
Signs and symptoms
Heartburn
Dysphagia
Regurgitation
May cause
Oesophagitis
Graded I-IV
Grade IV = Barrett's oesophagitis
RF for oesphageal cancer
#
Nutritional Goals
Achieve and maintain healthy wt
Eliminate/reduce acid into the oesophagus
Nutritional Strategies
Regular, small meals
Avoid lying down/bending after meals
Lose wt (if overweight)
Low fat diet
Avoid individual triggers
Fatty foods
Alcohol
Chocolate
Spicy food
Citrus juice
Coffee
Quit smoking
Medical Mgt
Proton Pump Inhibitors (PPI)
H2 receptor antagonists
Antacids
Surgery
Laporscopic Fundoplication