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Chapter 3: Upper GI (i) - Coggle Diagram
Chapter 3: Upper GI (i)
GORD
A/w obesity, pregnancy, age, alcohol, smoking, hiatus hernia
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Tx
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surgery e.g. Nissen's fundoplication, wrap fundus around oesophagus
only if sx despite max medical tx or comps occuring (Barrett's, aspiration pneumonia, strictures)
Barrett's
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can be a/w dysplasia
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if high grade: endoscopy every 3mo with bx, mucosal resection/oesophagectomy
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PUD
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a/w NSAIDs, aspirin, alcohol, smoking, stress, steroids
bleeding: haematemesis/melaena, anaemia
PU made worse by food, DU relieved by food
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Dysphagia causes
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achalasia
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tx options: balloon dilation, botox injection, Heller's cardiomyotomy
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Chagas (American trypansomiasis, parasite, sx similar to achalasia)