the Gastrolab Endoscopy Quiz of the Month - Old Quizes and Answers: May 2003

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The Old Endoscopy Quiz (and Answer) of the Month
May 2003

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Question:

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This old lady came to an upper endoscopy as she had suffered from daily heartburn for many many years. The cause of the reflux was a hiatal hernia, an inside view of which is seen in the first image. The second image shows the distal oesophagus 2-3 centimeters and the third image some 5 centimeters above the hiatal hernia. What is this disease in her distal oesophagus - or is it normal?

Answer

    Barrett´s Oesophagus

    The diagnose is quite easy when one goes further upwards in the oesophagus of this patient. This image shows the finding about 8 centimeters above her hiatal hernia:

Answers and comments were emailed by

    Dr.CSBR.Prasad, Riyadh, Saudi Arabia, CP
    LUISGUILLERMOGUERRERO, BOGOTA, COLOMBIA
    Ervin Toth, Malmö, Sweden
    Salvatore Della Ducata, Gallipoli, Italy
    Ulrike Hurler, Heidenheim, Gerrmany


    Alanya, Turkey
    Ilker ABCI, Alanya, Turkey

Pigeon Rocks, Beirut, Lebanon
    Zahreddine Radwan, Beirut, Lebanon
    Fuad, Pasic, Tuzla, Bosnia
    lorna kirkham, milton keynes, UK.
    Ravi Mohanka, Mumbai, India
    Paul Minnis(med student), Belfast, N.Ireland
    Malek Balamane, Alger, Algeria
    Kubilay Cinar, Ankara, Turkey
    Christos Zavos, Thessaloniki, Greece
    Pavel Sillinger, Pardubice, Czech Republic
    Heather, Wingham, Canada
    Moema Feitosa, Rio de Janeiro, Brazil
    MUDr.Balaz Marian, Benesov, Czech republic
    PARABOLI SILVA, Marcio Luiz M.D., CAMPO MOURAO-PARANA-, BRAZIL
    Pawel Kazmierczak, Lodz, Poland
    Antonio Sia , Patrocinio(MG), Brazil
    Christian Nielsen, Uppsala, Sweden
    ARBER F.Veliu, Prishtina, Kosovo
    joanna papailiou, Athens, Greece
    Angela, Christiansburg, VA
    dongjun fan, Taiyuan, China

    A tram in Lisbon, Portugal
     Cristina Fonseca, Lisbon, Portugal
    Murat Toruner, Ankara, Turkey
    Dario, Gambaccini, Italy

    Comments:

      Looks like a quite NORMAL oesophagus, no Barrett-changes to the naked eye. The first image might indicate a small protrusion of the ventricular mucosa into the oesophagus, but then again perhaps the picture is taken right in the middle of the hiatal hernia?