Lectures

GERD: Management and Surgery

by Kevin Pei, MD
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    About the Lecture

    The lecture GERD: Management and Surgery by Kevin Pei, MD is from the course General Surgery.


    Included Quiz Questions

    1. Docusate sodium
    2. Proton pump inhibitor
    3. Avoid smoking
    4. Avoid alcohol
    5. Weight loss
    1. Both decrease secretion of hydrochloric acid
    2. Both decrease the pH of hydrochloric acid
    3. Both are basic substances which act to neutralize the overall pH in the stomach
    4. Both increase the tone of the lower esophageal sphincter
    5. Both increase stomach motility
    1. Metaplastic columnar epithelium replacement of squamous epithelium in the esophagus due to chronic gastric reflux
    2. Metaplastic squamous epithelium replacement of columnar epithelium in the esophagus
    3. Metaplastic esophageal epithelium replacement of columnar epithelium in the stomach
    4. Metaplastic squamous epithelium hyperplasia in the esophagus
    5. Metaplastic columnar epithelium hyperplasia in the stomach
    1. Severe disease refractory to medical management
    2. Helicobacter pylori infection
    3. Waterbrash
    4. Chest pain accompanying initial reflux symptoms
    5. Esophageal pH of less than 4 at any point during 24 hour monitoring
    1. The Nissen fundoplication procedure has wrapped the fundus of the stomach too tightly around the gastroesophageal junction
    2. These are normal anticipated symptoms after Nissen fundoplication, and the patient should be reassured
    3. Failure of the Nissen fundoplication and worsening of reflux symptoms
    4. Dehiscence of the surgical reanastomosis
    5. The laparoscopic band is placed too high around the stomach fundus

    Author of lecture GERD: Management and Surgery

     Kevin Pei, MD

    Kevin Pei, MD


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