Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 5: A Rare Form Of Esophageal Toxicity (continued)

Samuel Giday, MD

A 61-year-old woman presented with abdominal pain and heartburn. She had a history of gouty arthritis and was taking low-dose colchicine on a daily basis. Upper endoscopy was performed and the patient was found to have long segment Barrett’s esophagus along with reflux esophagitis. She was treated with a proton-pump inhibitor and had good relief of her symptoms. On subsequent surveillance endoscopy and biopsy for the Barrett’s mucosa, she was found to have a focus of high-grade dysplasia adjacent to an area of adenocarcinoma. Further evaluation using high-frequency endoscopic…
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