Gastro-esophageal reflux

Case contributed by Matt A. Morgan
Diagnosis certain

Presentation

Evaluation for solid food dysphagia

Patient Data

Age: 70 years
Gender: Male
Fluoroscopy

This image shows spontaneous gastroesophageal reflux of barium contrast into the mid and distal esophagus, reaching as high as the level of the aortic arch. There is also a tiny hiatal hernia, which is likely contributing to the reflux.

In addition, the patient was acutely symptomatic, as can be seen by his left hand clasped over his chest. He was feeling an acute attack of "heartburn" when this reflux occurred!

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