A 50-year-old obese man (BMI = 32 kg/m2 ) comes to the physician complaining of indigestion after meals, bloating, and heaburn. Vital signs are normal. A CT scan of the abdomen reveals a hiatal hernia of the esophagus. Endoscopic biopsy shows thickening of the basal layer of the squamous epithelium, upward extension of the papillae of the lamina propria, and an increased number of neutrophils and lymphocytes.Which of the following is the most likely diagnosis?
- Hiatal hernia of esophagus is one of the risk factors of reflux esophagitis - Esophagitis may be caused by infections, reflux of gastric juice or exogenous irritants. - Areas affected by gastric reflux are susceptible to mucosal erosions & ulcers which appear as linear veical streaks. - Neutrophils and lymphocytes accumulate in the mucosa. - Other choices are not typical complications of hiatal hernia.
Esophageal varices
Mallory-Weiss syndrome
Reflux esophagitis
Schatzki mucosal ring
Esophagus Applied Anatomy: GERD