05-12-2009, 03:52 PM
A 54-year-old man presents with a chief complaint of "burning" abdominal pain in the epigastric region.
Endoscopy demonstrates a well-defined, regular gastroesophageal junction located 3 cm above the
esophageal hiatus in the diaphragm. Biopsy of the distal side of the junction demonstrates
normal gastric mucosa. This lesion is best classified as which of the following?
A. Achalasia
B. Esophageal ring
C. Esophageal web
D. Paraesophageal hernia
E. Sliding hernia
Endoscopy demonstrates a well-defined, regular gastroesophageal junction located 3 cm above the
esophageal hiatus in the diaphragm. Biopsy of the distal side of the junction demonstrates
normal gastric mucosa. This lesion is best classified as which of the following?
A. Achalasia
B. Esophageal ring
C. Esophageal web
D. Paraesophageal hernia
E. Sliding hernia