All of the following is true regarding G.E.R.D. except?
Mechanisms of GERD: Transient LES relaxations LES hypotension Anatomic distoion of the esophagogastric junction inclusive of hiatus hernia * The acid can reflux can lead to chemical tracheitis-nocturnal cough and bronchospasm. Erosive esophagitis at the esophagogastric junction is the endoscopic hallmark of GERD In paially treated disease ambulatory 24 hours pH monitoring is done and the outcome is expressed as the percentage of the day that the pH was less than 4 (indicative of recent acid reflux), with values exceeding 5% indicative of GERD.
Occurs during transient relaxation of LES.
Can present with nocturnal cough
Bicarbonate secreted by esophageal mucosa neutralizes the acid
Erosive esophagitis at the esophagogastric junction is the hallmark of GERD
Bleeding from the GUT and diseases of esophagus