01-26-2009, 06:05 AM
A 43-year-old bus driver presents to his gastroenterologist with complaints of
difficulty swallowing solid foods. The evaluation demonstrates a smooth, tapered
stricture of the distal esophagus, and biopsies reveal changes consistent with chronic esophagitis and fibrosis. The stricture is dilated with an endoscopic balloon dilator, and the patient's symptoms resolve. He reports that although he has had dysphagia for the past 2 months prior to the endoscopy, he rarely has heartburn and uses an over-the-counter antacid only occasionally. Which of the following is the most appropriate future management of this patient?
A. Famotidine
B. Lansoprazole
C. Magnesium hydroxide
D. Metoclopramide
E. No medication is necessary
difficulty swallowing solid foods. The evaluation demonstrates a smooth, tapered
stricture of the distal esophagus, and biopsies reveal changes consistent with chronic esophagitis and fibrosis. The stricture is dilated with an endoscopic balloon dilator, and the patient's symptoms resolve. He reports that although he has had dysphagia for the past 2 months prior to the endoscopy, he rarely has heartburn and uses an over-the-counter antacid only occasionally. Which of the following is the most appropriate future management of this patient?
A. Famotidine
B. Lansoprazole
C. Magnesium hydroxide
D. Metoclopramide
E. No medication is necessary