10-04-2007, 11:37 AM
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