Editing GORD (section)

== '''Complications:''' ==

* Oesophageal
** Erosive oesophagitis -      reflux causes necrosis of mucosa
** Barrett's oesophagus -      metaplastic columnar epithelium replaces stratified squamous epithelium      after chronic GORD.
*** See separate topic
*** Predisposes to CA
*** No specific symptoms to       allow it to be differentiated from GORD
*** Can be complicated in turn       by ulcerations, strictures, haemorrhage
** Strictures
*** Occur as part of the       healing process of ulcers - collagen is deposited, then contracts
*** May get symptomatic eg       obstruction
*** Should be biopsied to       exclude malignancy
*** Treat with dilatation and       acid-suppressive therapy, majority effectively
*** Dilatation can be done with       either a balloon dilator or Savary dilator
*** Refractor strictures can be       treated with anti-reflux surgery or steroid injections
* Extra-oesophageal
** Asthma
** Chronic laryngitis
** Laryngo-tracheal stenosis
** Chronic cough
** Etc

[[Category:UGIS]]