Gastro-oesophageal reflux disease
Gastro-oesophageal reflux disease (GORD) disease is important to understand in primary care as reflux symptoms such as heartburn are common and can lead to significant impairment in the quality of life for your patients.
Dr Grace Lee, Deputy Director Goodfellow Unit, talks with Dr John Perry about optimizing management of a patient with gastro-oesophageal reflux disease.
John is a Gastroenterologist and Endoscopist at Waitemata DHB and Waitemata Gastroenterologists.
Topic covered:
- Identifying lifestyle factors that may impact the course of illness.
- When further investigations may be warranted.
- Lifestyle as medicine and optimising medical management.
- Take-home messages.
Resources
- Managing gastro-oesophageal reflux disease (GORD) in adults: an update bpacnz (2014)
- Helicobacter pylori Health Navigator NZ patient information
- Proton pump inhibitors Health Navigator NZ patient information
- Stopping a medicine Choosing Wisely (2016)
- Audit tools:
Peer group discussion points |
Lifestyle measures are good option for non-erosive reflux disease or mild disease and they may alleviate the need for further medication.
Proton pump inhibitors such as omeprazole should always be periodically reviewed to see if they are still indicated for patient management.
Keeping accurate medical records is integral in providing good patient care and continuity of care. Information should be structured and easily accessible – medical history, family history, ethnicity and lifestyle screening are particularly important for assessment and management of GORD.
|
This MedTalk is supported by