GERD basics, symptoms, presentation, and hiatal hernias

GERD

1. GERD and Hiatal Hernias in 1 hour Joshua Lyons, MD General Surgery PGY-6

2. Epidemiology Accounts for 75% of all esophageal pathology Affects 10-20% in the Western population <5% in Asia 22% of surveyed Americans reported heartburn within the past month GERD

3. Pathophysiology (multifactorial) Delayed esophageal clearance Lower esophageal sphincter (LES) dysfunction Abnormal LES position/length Irritant effect of refluxed material Delayed gastric emptying GERD

4. GERD

5. Symptomatology Clinical symptoms are diverse -Typical and atypical presentations May direct clinical evaluation toward unrelated diseases GERD