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Surgery
A 54-year-old man presents with dysphagia, heartburn, belching, and epigastric pain. A barium swallow shows a sliding hiatal hernia and a stricture situated higher than usual in the mid-esophagus. Endoscopic findings suggest Barrett's esophagus (ectopic gastric epithelium lining the esophagus). Marked esophagitis with linear ulcerations are seen during endoscopy. A biopsy shows columnar epithelium at the affected area and normal squamous epithelium above, confirming the diagnosis. What statement is TRUE regarding this condition?
Adenocarcinoma is less common in Barrett's esophagus
Most patients do not have associated gastroesophageal reflux
The presence of ectopic gastric lining protects against aspiration during sleep and prevents recurrent pneumonitis.
The present treatment is aimed at preventing esophagitis.
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