1. GORD & PU Disease By Dr Claire Donohue (GP SpR)

2. Objectives – by the end of the session you should be able to… O Describe the types of patients who develop GORD and identify their risk factors O Propose an appropriate investigation for each patient presentation O Formulate a management plan for each patient presentation of GORD O List the Upper GI 2WW referral criteria/ RED FLAGS O Recall the risk factors for peptic ulcer disease O Distinguish between the different types of peptic ulcers O Formulate a management plan for the investigation and management of patients with peptic ulcer disease O Summarise the complications of peptic ulcer disease

3. GORD 1. Risk Factors for GORD (Bio-Psycho-Social) 2. Clinical Features (hx & examination) 3. Investigations 4. Management (Conservative, Medical, Surgical) 5. Complications http://www.open.ac.uk/platform/blogs/society-matters/mental-health-and-society-1-bio- psycho-social

4. What is a Peptic Ulcer? O An erosion in the mucosa of the GIT – can penetrate other tissue layers O Gastric Ulcer (5% lifetime risk, 90% lesser curvature) O Duodenal Ulcer (15% lifetime risk) O Other types of ulcers in GIT O Oesophageal ulcer O Stress ulcer

5. Peptic Ulcer Disease (PUD) O Name risk factors for development of PUD O Symptoms/Clinical Features (Hx & Examination) O Investigations for causes of PUD O Management (conservative, medical surgical) O Complications

6. The End! Any Questions??

7. References O Davey. P, Medicine at a glance, 3 rd ed., pgs 60-61, 118-119 O http://www.patient.co.uk/doctor/gastro- oesophageal-reflux-disease (accessed 19/10/2013) http://www.patient.co.uk/doctor/gastro- oesophageal-reflux-disease O http://www.medscape.com/viewarticle/460 311 (medications that exaccerbate GORD) http://www.medscape.com/viewarticle/460 311 O http://emedicine.medscape.com/article/18 1753-clinical