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Unformatted text preview: Provide oral care before and after eating. Nasogastric or gastrostomy feedings What is achalasia? Opposite of GERD GERD – loose floppy lower esophageal sphincter Achalasia- lower esophageal sphincter is too tight Achalasia Reduced peristalsis in esophagus Failure of esophageal sphincter to relax for swallowing Pyrosis Dysphagia Weight loss Dilation Stretch out narrowed area peri-esophageal sphincter Gastro esophageal Reflux Disease Etiology and pathophysiology – about 1 in 5 people in US Inflamed lower esophagus Risk: obesity, pregnancy, smoker, hiatal hernias Clinical manifestations – nocturnal coughing, pyrosis Complications – esophagitis, Barrett’s esophagus Diagnostic studies –barium swallow Collaborative care Lifestyle modifications Nutritional therapy Drug therapy Endoscopic therapy...
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- Fall '13
- Gastroesophageal reflux disease, lower esophageal sphincter