A 50-year-old male consulted due to a five-year history of heartburn, with esophageal dysphagia over the last year. Esophagoscopy showed a foreign body consisting of plant material; after removing it, narrowing (< 12.5 mm) was found which blocked the endoscope's passage. Proximal to this narrowing were esophageal mucosal breaks spanning less than 75% of the circumference, with a maximum length of 1.5 cm. No biopsies were taken due to mucosal friability. (Figures 1, 2). The diagnosis was: esophageal stenosis secondary to gastroesophageal reflux (GER), suspected esophageal metaplasia (Barrett's esophagus) and grade C esophagitis. The current diagnostic model for GER revolves around the identifi cation of esophageal and extraesophageal symptoms, as well as mucosal damage (esophagitis, Barrett's esophagus, stenosis and adenocarcinoma) ^1,2. This case illustrates three esophageal complications caused by GER. Esophageal dilation, treatment with omeprazole and follow up to histologically rule out Barrett's esophagus were ordered.

Figura 1
Cuerpo extraño esofágico constituído por material vegetal.

Figura 2
Estenosis esofágica, Esofagitis grado C y sospecha endoscópica de metaplasia esofágica.

References

1. Vakil N, van Zanten SV, Kahrilas P. Dent J, Jones R. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based Consensus. Am J gastroneterol 2006; 101: 1900-20

2. Gyawali C, Kahrilas P , Savarino E, Zerbib F, Mion F, Somut A, et al. Modern diagnosis of GERD: the Lyon Consensus. Gut online first, published on February 9, 2018 as 10.1136/gutjnl 2017-314722

Notes

Author notes

^* Correspondencia: Henry Alberto Royero Gutiérrez. Ocaña (Norte de Santander). E-mail: royerogastro@hotmail.com