A retroflexed view of a hiatal hernia. (Esophagoscopy Clinic).A 47-year-old male accountant came to the office with a 2-year history of heartburn and a dry, nonproductive, nocturnal cough. He also reported excessive throatclearing and a globus sensation. Transnasal esophagoscopy (TNE) revealed no evidence of esophagitis esophagitis /esoph·a·gi·tis/ (e-sof?ah-ji´tis) inflammation of the esophagus. chronic peptic esophagitis reflux e. or a web, stricture, or neoplasm neoplasm or tumor, tissue composed of cells that grow in an abnormal way. Normal tissue is growth-limited, i.e., cell reproduction is equal to cell death. . However, retroflexed ret·ro·flex adj. also ret·ro·flexed 1. Bent, curved, or turned backward. 2. Pronounced with the tip of the tongue turned back against the roof of the mouth. n. TNE of the lower esophageal sphincter lower esophageal sphincter n. A ring of smooth muscle fibers at the junction of the esophagus and stomach. Also called cardiac sphincter. (LES) detected a large, sliding hiatal hernia (figure, A). Twenty-four-hour dual-probe pH testing revealed severe proximal and distal acid exposure (figure, B), which was probably the cause of the patient's heartburn and cough. The patient underwent a laparoscopic reduction of the hernia and a Nissen fundoplication. |
|
||||||||||||||||||||
Printer friendly
Cite/link
Email
Feedback
Reader Opinion