PPT-Esophageal & extra-esophageal manifestations of GERD

Dr SM Valizadeh Toosi Assistant Professor of Medical Science faculty Imam Khommeni Hospital GI Ward DEFINITION  Gastroesophageal reflux GER Physiologic reflux typically occur postprandial. Edward . Auyang. , MD, MS, FACS. Assistant Professor of Surgery. Director of Minimally Invasive Surgery. Residency Program Director, General Surgery. Disclosures. No financial disclosures. I do perform anti-reflux operations…. Prof KHALED HEMIDA. Ain. Shams University. قال الله تعالي : . يرفع الله الذين آمنوا منكم و الذين أوتوا العلم درجات .. قال رسول الله (صلي الله عليه و سلم):. done . by. . adila. . abulhamail. Defination. Epidemiology. Classification. Mechanism that protect from GERD. Presentaion. Causes. D.D. Investigation. Treatment. Conservative. Medical . Surgical : open or . GERD). Ernesto Garcia. Angela Gomez. Sandra Hernandez. Valerie Obarski. What is GERD?. Definition:. Gastroesophageal reflux disease (GERD) is defined as a condition with symptoms or complications resulting from the reflux of gastric contents into the esophagus or beyond, into the oral cavity (including the larynx) or lung.. Cardinal symptoms. Heartburn. Bland or sour regurgitation. Chest Pain. Dysphagia. Odynophagia. Atypical Symptoms. Dyspepsia(epigastric burning and fullness). Nausea and Vomiting. Hematemesis. Globus. Mucosal Integrity correlates inversely with spongiosis, dierentiates esophageal disorders, and monitors treatment response in GERD. Mucosal Integrity TestingInstantly diagnose GERD, EoE and Non-G Symptoms Suspicious of Re31ux DiseaseTypical SymptomsAlarm SymptomsResponse to Empiric PPI TherapyRe31ux EvidenceResponse to Antire31ux TherapyResponse to Empiric PPI TherapyNo Re31ux EvidenceEndoscop Structural (mechanical) obstruction. . Functional obstruction (disruption of the coordinated waves of peristaltic contractions) --------- Esophageal . dysmotility. Esophageal . dysmotility. :. - Nutcracker esophagus. And benign . esophgeal. diseases. Presented by;. Lina. . bani. . hamad. . dysphagia. The physiology of swallowing. Definition . Epidemology. . There are . two forms of. . dysphagia. Oropharyngeal dysphagia (transfer . disease. GERD. , is a common condition . characterized by prolonged reflux of hydrochloric acid, pepsin, and bile salts in esophagus, oral cavity, or respiratory system leading to esophagitis.. Causes are related to the weakness or . ACG define – Symptoms or mucosal damage produced by the abnormal reflux of gastric contents into the esophagus which are Often chronic and relapsing.. Pathophysiology. Clinical Presentations of GERD. . abulhamail. Defination. Epidemiology. Classification. Mechanism that protect from GERD. Presentaion. Causes. D.D. Investigation. Treatment. Conservative. Medical . Surgical : open or . laproscopic. Gastroenterologist and . hepatologist. Anatomy. Upper sphincter. Lower sphincter. Gastric Cardia. Oesophageal body. Diaphragm. Symptoms . of esophageal . d. isorders. Dysphagia. Odynophagia. Non cardiac chest . Courses . in Therapeutics and Disease State Management. Learning Objectives. Define GERD and describe the various stages of disease severity. Describe the etiology of GERD and risk factors associated with the disease.