• Jack Pickleman


A 46-year-old woman has had persistent heartburn and a feeling of acid regurgitation for 6 years, only partially controlled by antacids. She gives a 3-month history of progressive dysphagia and a feeling of food sticking in her throat substernally. An upper GI tract X ray series is performed and is shown as Figures 1–1 and 1–2. Esophagoscopy reveals a stricture in the distal esophagus; biopsy discloses only inflammatory tissue. Treatment should consist of:
  1. A.

    Bougie dilatation.

  2. B.

    Antireflux procedure.

  3. C.

    Weight loss and cimetidine.

  4. D.

    Dilatation and antireflux procedure.

  5. E.

    Esophageal resection with colon interposition.



Hiatus Hernia Esophageal Carcinoma Reflux Esophagitis Distal Esophagus Lower Esophageal Sphincter Pressure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1982

Authors and Affiliations

  • Jack Pickleman
    • 1
  1. 1.Loyola University Stritch School of MedicineMaywoodUSA

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