Title GASTRO SMLE 2023 non mcqs.pdf ✅

GASTRO SMLE review Abdulrahman A. Alahmadi Tw: @Abdulrahman95AA

1. New onset of dyspepsia in patient ≥60 years. 2. Evidence of gastrointestinal bleeding (hematemesis, melena, hematochezia, occult blood in stool) 3. Iron deficiency anemia. 4. Anorexia or unexplained weight loss. 5. Dysphagia or odynophagia. 6. Persistent vomiting. 7. Gastrointestinal cancer in a first-degree relative. Indication of endoscopy in GERD (Red flags)
Refractory GERD Endoscopy Normal 24h PH monitoring (to confirm GERD as the cause of patient symptoms) Reflux esophagitis Manometry (to rule out motility disorder) If manometry is normal proceed with Nissen fundoplication