avoid simple sugars & CHO, diet higher in protein & fats, avoid liquids with meals, small freq meals, lie down after meals for safety
Peptic Ulcer Disease
erosion of the mucous membrane of the GI tract from digestive action of HCl & pepsin
Surgery for Hiatal Hernias
Nissen Fundoplication; Angelchik prosthesis
EGD (Esophagogastroduodenoscopy)
Insertion of flexible tube into esophagus through the stomach and into the duodenum of the small intestines, Performed under MAC (monitored anesthesia care) – “Twilight sleep”, Pt. able to communicate if needed, Can be done outside of OR
Tx of Hiatal Hernias
usually conservative (almost same as GERD), eating small meals, weight control, avoid tight constrictive clothing
