Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 6: Diffuse Squamous Cell Dysplasiaof The Esophagus (continued)

Samuel Giday, MD

A 58-year-old man of Middle Eastern origin presented complaining of intermittent dysphagia of a 2-year duration. The dysphagia occurred with both liquids and solids, was progressive in nature, and was relieved slightly with acid suppression therapy. He denied any past or present heartburn. Past medical history was significant for hypertension. The patient reported that he drank 2 glasses of wine per day and had no history of smoking or illicit drug use. There was no family history significant for malignancy. Physical examination was unremarkable. Upper endoscopy revealed the presence of…