Clinical pearls in gastroenterology 2016

A 52-year-old man presents for an evaluation of his chronic reflux symptoms. He reports a history of typical heartburn and reflux symptoms for 7–8 years. He takes a proton-pump inhibitor on demand, with adequate symptom control. He drinks 5–7 alcoholic beverages weekly, and has a 30-pack-year smoking history. He denies any family history of Barrett’s esophagus or esophageal adenocarcinoma. He is overweight. An EGD is done to screen for Barrett’s esophagus, and he is found to have a 4-cm area in the distal esophagus consistent with Barrett’s, with biopsies confirming intestinal metaplasia with goblet cells, without dysplasia.
Source: Disease a Month - Category: Infectious Diseases Authors: Source Type: research