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The Old Endoscopy Quiz (and Answer) of the Month
June 2005

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the Quiz Page

Question:

The summer of this year is here again - at least on our half of the globe. During the summer - in June, July and August - the Quiz will be quite easy for two reasons. First, a quick answers save You time to be out in the sun. Second, You do not have to be an expert in endoscopy to manage in this quiz during the summer. So - if You are a health care professional just thinking of starting a career in endoscopy, please have a try - You might find it interesting!

This quite old man had suffered from heartburn and upper abdominal pain for many years. He had treated himself with an over the counter drug, ranititin. Taking two tablets aday kept him quite symptomfree. This slideshow shows the endoscopic finding in his upper gastrointestinal channel. So, what is the cause of these symptoms?

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Answer:

    Reflux Oesophagitis Grade C-D (Los Angeles Classification), Caused by an Hiatal Hernia.


    A reflux oesophagitis grade C according to the Los Angeles Classification
    		 Los Angeles Classification System for the endoscopic assessment of reflux oesophagitis:
    GRADE A: One or more mucosal breaks no longer than 5 mm, non of which extends between the tops of the mucosal folds
    GRADE B: One or more mucosal breaks more than 5 mm long, none of which extends between the tops of two mucosal folds
    GRADE C: Mucosal breaks that extend between the tops of two or more mucosal folds, but which involve less than 75% of the oesophageal circumference
    GRADE D: Mucosal breaks which involve at least 75% of the oesophageal circumference

Correct answers and comments were emailed by

    Yaşar Nazlıgül, Şanlıurfa, TÜRKİYE
    Christos Zavos, Thessaloniki, Greece
    Victor Kamburov, Sofia, BULGARIA
    Salvatore Della Ducata, Gallipoli, Italy
    Amrani khalil, Constantine, Algeria
    Zahreddine Radwan, Beirut, Lebanon
    PARABOLI SILVA, Marcio Luiz M.D., SAO JOSE DO RIO PRETO
    Dr.Arber Veliu, Prishtina, Kosovo(UNMIK)
    LUISGUILLERMOGUERRERO, BOGOTA, COLOMBIA
    jack, Miao-Li, Taiwan
    Klaudia Jadwiga Niepsuj, Gliwice, Poland
    fahri akyuz, Izmit, Turkey
    Marcel Cina , Presov, Slovakia
    Abdon Guerra, San Antonio, CHILE. Hi, You have an interesting medical blog on the net at abdonguerra.blogspot.com! It would be nice to have it in English, but, on the other hand, it is never to late to learn a new language.
    Claudia Iacobescu, Bucharest, Romania
    Ilker Abci, Alanya, Turkey
    rashedhassen, fakous, egypt
    rafil belallari, Prizren, Kosovo
    VALLADARES GUILLERMO, LIMA, PERU

Comments:

The Best Image Library in the World!

That is what we would like Gastrolab Image Library and Endoscopic Archives to be.

Perhaps We can achieve this together? Many of You have ecxellent endoscopic images just waiting for publication. When published they can be an invaluable resource for young endoscopists and for gastroenterologic education. Images published here can freely be used for noncommercial purposes.

So, please email Your images here

glabinfo@gmail.com
together with a short caption, a notice that our site is permitted to publish them and information if You want a copyright sign © together with You email address (in which case possible commercial publishers can contact You to get permission to publish Your images).

Together we can make the best and most complete Image Library in the World!


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