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Heart Burn

Anatomy
1. Esophagus
  1. parts
  2. Arterial supply
  3. venous drainage
2. Stomach
Histology
Barret's Esophagus
1. complication of chronic GERD that is characterized by intestinal metaplasia within the esophageal squamous mucosa
GERD
1. Complications
  1. Esophagitis
    1. Strictures
      1. CANCER
2. Reflux of acid from the stomach due to reduced LES tone.
3. Risk factors
  1. Alcohol
    1. Obesity
      1. Hiatal hernia
        fat-rich diet
  2. Investigations
    1. Endoscopy
      1. Manometry
        24-hour pH monitoring
        barium swallow
4. Signs and symptoms
  1. Treatment
    1. Medication
      1. Antacids
        H2 blockers
        PPIs
        Omeprazole
        ranitidine
        magnesium hydroxide
      2. Surgery
        Why do people avoid going to the hospital ?
        Traditional berriers
        Physician factors
        Expected negative outcomes
        Past negative exoerience
5. H.pylori

Heart Burn

	Created by fatima alkhateeb over 6 years ago