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Jednjak
Jednjak
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Divertikuloza jednjaka
Sliding hernia
On the left initially, GE junction is below the esophageal hiatus.
Later, stomach protrudes through hiatus.
Neither the hernia or stricture (arrow) due to reflux esophagitis
were visible early in the examination.
Paraesophageal hernia
Large hernias can cause symptoms, and with progressive hiatal
widening, increasing protrusion and rotation of the stomach
can lead to gastric volvulus that can be complicated by
hemorrhage, obstruction, strangulation, perforation.
Barrett's esophagus
Barrett's esophagus (columnar metaplasia) is
the result of long-standing reflux esophagitis.
Most patients have reflux and a hiatus hernia.
The diagnosis is strongly suggested by:
Mid or high esophageal ulcer
Mid or high esophageal web-like stricture
Reticular mucosal pattern
On the left a patient with a Barrett's
esophagus. The reticular mucosa is
characteristic of Barrett's columnar metaplasia,
especially with the associated web-like (arrow)
stricture.