ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy

Reicher_TIFFCaseSession4

Pdf Summary

The case discussed here involves a 33-year-old male patient who has been experiencing chronic heartburn and regurgitation at night. He scores a 30 on the GERD-HRQL (Gastroesophageal Reflux Disease-Health Related Quality of Life) scale when off proton pump inhibitor (PPI) medication. The patient does not have chest pain or dysphagia. His heartburn is almost completely resolved when taking PPI medication twice daily, and his regurgitation improved after losing weight. He has been diagnosed with non-dysplastic Barrett's esophagus (BE) at a length of 10 mm and a follow-up endoscopy indicated complete response in intestinal metaplasia (CRIM) after receiving radiofrequency ablation (RFA) treatment. The patient also has a grade II hiatal hernia according to the Hill classification system and has been diagnosed with an ineffective motility disorder with normal lower esophageal sphincter (LES) relaxation. Despite the improvements, the patient is dissatisfied with his current condition and there are concerns about the recurrence of BE.

Keywords

chronic heartburn

regurgitation at night

GERD-HRQL scale

proton pump inhibitor

Barrett's esophagus

radiofrequency ablation

hiatal hernia

ineffective motility disorder

lower esophageal sphincter relaxation

recurrence of BE