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Exam questionKROK 2Medicine ยท 2013

A 28-year-old male patient complains of regurgitation, cough and heartburn that occurs every day after a meal, when bending forward or lying down. These problems have been observed for 4 years. Objective status and laboratory values are normal. FEGDS revealed endoesophagitis. What is the leading factor in the development of this disease?

Answer options

  1. Helicobacter pylori infection
  2. Hypersecretion of hydrochloric acid
  3. Failure of the inferior esophageal sphincter
  4. Duodeno-gastric reflux
  5. Hypergastrinemia
Correct answer

Failure of the inferior esophageal sphincter

Explanation

A 28-year-old male patient complains of regurgitation, cough and heartburn that occurs every day after a meal, when bending forward or lying down. These problems have been observed for 4 years. Objective status and laboratory values are normal. FEGDS revealed endoesophagitis. What is the leading factor in the development of this disease?The patient had a specific character of GERD (Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into food pipe (esophagus) and reflux irritates the lining of esophagus and causes GERD).

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