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5528 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?

AAdenocarcinoma is less common in Barrett's esophagus
BMost patients do not have associated gastroesophageal reflux
CThe presence of ectopic gastric lining protects against aspiration during sleep and prevents recurrent pneumonitis.
DThe present treatment is aimed at preventing esophagitis.
Surgery
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5529 Surgery

Gastrotomy is

AOpen the stomach closed after tube inseion
BOpening the stomach
CResecting the terminal pa of stomach
DResecting the proximal pa of stomach
Surgery
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