Transcription of THE ENDOSCOPICALLY ABNORMAL ESOPHAGUS …
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THE ENDOSCOPICALLY ABNORMAL ESOPHAGUS …
THE ENDOSCOPICALLY ABNORMAL ESOPHAGUS The endoscopic abnormalities that may be seen in association with esophageal disorders are numerous, varying from subtle alterations in the esophageal mucosal surface to large ulcers or masses. This discussion will be focused on a few commonly encountered entities in which clinical, endoscopic and histologic correlation are critical for establishing a correct diagnosis. These include gastroesophageal reflux disease (GERD), eosinophilic esophagitis and Barrett s ESOPHAGUS . gastroesophageal Reflux Disease The most recent practice guidelines for diagnosis and management of gastroesophageal reflux disease support establishing a presumptive diagnosis of GERD without endoscopic evaluation in the setting of typical symptoms such as heartburn and regurgitation (1) . Empiric medical therapy with a proton pump inhibitor is recommended; therefore, most patients that are being evaluated for GERD ENDOSCOPICALLY are already on PPI therapy at the time of biopsy.
Gastroesophageal Reflux Disease . The most recent practice guidelines for diagnosis and management of gastroesophageal reflux disease support establishing a presumptive diagnosis of GERD without endoscopic evaluation in the setting of typical symptoms such as heartburn and regurgitation (1). Empiric
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