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The Old Endoscopy Quiz (and Answer) of the Month May 2007

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Question:
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This middle age lady came for a follop up endoscopy as she hade suffered from reflux like dyspepsia for many years. She had used PPI regularly with excellent symptomatic relief. These images show the first part of an upper endoscopy. Quite typical findings - what are they?
Correct answer:
An Hiatal Hernia causing Reflux Oesophagitis and Barretts Oesophagus
Correct answers and comments were emailed by
Albert Trinh Chang Truong, Los Angeles, CA
Vitor Fernandes, Almada, Portugal
Salvatore Della Ducata, Gallipoli, Italy
M.LERIOS, NICOSIA, CYPRUS
ARBER Veliu, Prishtina, Kosova
M. Nooman, Alexandria, Egypt
osman demirkol, amasya, türkiye
Zahreddine Radwan, Beirut, Lebanon
Fred Stam, Haarlem, Holland
BURHAN TAM, Silivri-İSTANBUL, TÜRKİYE
PARABOLI SILVA , marcio luiz, Sao Jose do Rio Preto, BRAZIL
LUIS GUILLERMO GUERRERO, BOGOTA, COLOMBIA
yusuf yücel, karabük, turkey
Ellie Pongratz, Bowie, MD
MAJID HOSSEINIAN, TEHRAN, IRAN
Lavrentios Papalavrentios, Thessaloniki, Greece
Ho Dang Quy Dung, Cho Ray Hospital, Ho Chi Minh, Vietnam
mehmet polat, ANKARA, TÜRKİYE
vijaysinh, karad, india
Dong Ngoc Khanh, Ho Chi Minh City, VietNam
DUMI, PARIS, FRANCE
Cheryl Lynch, Erie, USA/PA
Sharon Hauckwitz, Mooretown, Canada
Munir Bishara, Melbourne, Australia
dr. ramon lopez gaxiola, guamuchil, mexico/sinaloa
tarek, makkah, KSA
anjali malkani, baltimore, Maryland USA
Ayyakannu Kumar, Brentwood, Essex, United Kingdom
Khawaja Qamaruddin Sediqi, Kabul, Afghanistan
Noa Ciuraru, Kfar-Saba, Israel
Douglas Mauricio Hallaruthes Santos, Divinopolis, Brasil
Petr Vozeh, Praha, Èesko
KLAUDIA J.Niepsuj, Poland
Ma³gorzata Ferenc, Olsztyn, Poland
Christina Ecclissato, Campinas, Brazil
anıl özmutlu, Hakkari, Turkiye
Slavko Knezevic, KG, Serbia
Jose, Porto Alegre, Brasil/ Rio Grande do Sul
Zhuqingyun, Shanghai, China
Mirhan Tosn, İstanbul, Turkey
Craig, Gauthier, USA
Pham Khanh, Stord, Norway
HURLER, Ulrike, Heidenheim, Germany
Cevale Karslioglu Sgouros, Istanbul, Turkey
mohsen, cairo, Egypt
samyra lacerda david vargas, Montes Claros, minas gerais -Brasil
aydin koksal, Ankara, Turkey
DARIO VARGAS, BOGOTA, COLOMBIA
Fernando Peres, Rio de Janeiro, Brazil
Stefan Spinnell, Piteå, Sweden
vitor fernandes, Almada, Portugal
Lutful Chowdhury, Dhaka, Bangladesh
dr. Debashis Chowdhury, Chittagong, Bangladesh
German Lloret Salom, Alzira, Spain
dumi, Paris, France
rashedhassen, fakous, egypt
lorna kirkham, miton keynes,u.k.
Comments:
Here are some of the answers in different lanugages:
hiatal hernia with possible barrett's esophagus from chronic GERD
Barrett Esophago. Hiatal hernia deslizament
esofago de barrett
segmenter barret metaplazy, hiatal hernia
Diaphragmatic hernia with findings of Barrett esophagus
i think this pictur looks like gastro esophageal reflux with epithelial changes
oesophagite de reflux. hernie hiatale
there are 3-4 typical findings1- Large Axial Hiatal Hernia2- reflux Esophagitis grade B or C with sigmata or recent hemorrhage3- Suspicous Barrett's Esophagus in do need a close up view of the cardia .
Hernia Hiatal com esofagite
Barret oesophageus et hernia hiatalis
1. Barretts / intestinal metaplasia in the eosophagus, perhaps with a stricture2. Cardia insuficiency with a (sliding) hiatus hernia
Hernia hiatal com esofago de barret e estenose
Sliding hiatal herniaBarrett esophagus
Hérnia de hiato esofageano + epitélio colunar em esôfago distal (esôfago de Barrett?)
hiatal hernia. Cylinder epitel metaplasia
oesophago de Barrett and hiatal hernia
hernie hiatale; oesophagite de reflux
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