ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand)

Reicher_TIFFCaseSession4

Pdf Summary

This case study involves a 33-year-old male patient who presents with chronic heartburn and night time regurgitation. He scores 30 on the GERD-HRQL scale without taking PPI medication. The patient does not experience chest pain or dysphagia. His heartburn is nearly completely resolved when taking PPI medication twice daily, and his regurgitation improved after he lost weight. The patient has a non-dysplastic Barrett's esophagus and has undergone radiofrequency ablation (RFA) with complete resolution of intestinal metaplasia (CRIM). He also has a Hill grade II hiatal hernia and an ineffective motility disorder with normal lower esophageal sphincter (LES) relaxation. Despite these treatments, the patient is dissatisfied with his current condition and there is concern for the recurrence of Barrett's esophagus.

Keywords

case study

33-year-old male

chronic heartburn

night time regurgitation

GERD-HRQL scale

PPI medication

Barrett's esophagus

radiofrequency ablation

intestinal metaplasia

hiatal hernia