Question 111 · LEK · Esophagus
A 51-year-old man with bronchial asthma presents at GP because of recurrent episodes of food impaction, pyrosis, and chest pain increased after meals, and not associated with physical activity. The clinical picture suggests that the first strategy should be:
- A. pharmacological treatment with proton pump inhibitors (PPIs).
- B. gastroscopy with urease test.
- C. gastroscopy with urease test and oesophageal biopsies from the whole length of the oesophagus for histopathological evaluation.
- D. CT scans of the thorax.
- E. radiography of the upper part of the gastrointestinal tract.
Hint
Recurrent food bolus impaction in an atopic man points to a specific inflammatory oesophageal disease; how is it confirmed?
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