How does barretts oesophagus develop

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Reference no: EM133858669

Assignment:

In November of 1995, a McDonald's game piece worth $1 million showed up in the mail at St. Jude's Children's Hospital in Memphis, Tennessee. St. Jude's Hospital is an organization whose mission is to find cures for dying children. McDonald's generously waived the rules that only the winner could claim the winnings and paid St. Jude's $50,000 in annual installments. It was the largest anonymous gift in St. Jude's history. No one ever took credit for the donation. Everyone just thought it just came from deep pockets with a big heart.

1. Please explain the role of the sympathetic nervous system in the gastrointestinal tract.

2. What is the difference between a submandibular salivary gland swelling and swelling of a salivary lymph node?

3. How does Barrett's oesophagus develop?

4. Is it recommended to treat asymptomatic endoscopically diagnosed reflux oesophagitis with acid suppression and/or antireflux measures?

5. Is it recommended to give a young patient, diagnosed endoscopically to have mild reflux oesophagitis, life-long proton pump inhibitors (PPIs) to prevent the development of Barrett's oesophagitis?

6. Is it safe to give a patient with reflux oesophagitis who is on proton pump inhibitors (PPIs) for treatment of acid suppression, aspirin in antiplatelet doses (75-325 mg per day)?

7. Does a combination of magnesium and aluminium hydroxide salts, taken as antacid for reflux oesophagitis, have serious long-term adverse effects?

8. In the treatment of reflux oesophagitis with a proton pump inhibitor (PPI), should the PPI be life long or given for 4-8 weeks, as mentioned by the drug manufacturers?

9. Would a patient who suffers with reflux oesophagitis as a result of a hiatus hernia, and who is not responsive to proton pump inhibitors (PPIs), benefit from a highly selective vagotomy?

10. 1. What are the causes of belching and what appropriate drug can be used?

2. What are the effects of smoking on the gastrointestinal tract and what is its role in peptic ulcer disease?

Reference no: EM133858669

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