Question

A 54-year-old male has had long term GERD symptoms. He has been on proton pump inhibitors and has had fair control of his symptoms. Other past history is unremarkable. He is a nonsmoker and drinks socially. Family history is significant for hypercholesterolemia in his father. Physical examination is unexceptional. An endoscopy a few years ago, revealed Barrett's esophagus by biopsy of the esophageal mucosa. He was recommended to have follow-up endoscopy every 2-3 years with mucosal biopsy. This screening was recommended to him because he is in danger of developing

1. Achalasia of the cardia
2 Esophageal stricture
3. Adenocarcinoma of esophagus
4. Squamous cell carcinoma of esophagus
5. Dysphagia lusoria

Answer 1

The screening was recommended to the patient because he has Barrett's esophagus, which increases the risk of developing adenocarcinoma of the esophagus.

Step-by-step explanation:

The screening for follow-up endoscopy every 2-3 years with mucosal biopsy was recommended to the patient because he has Barrett's esophagus. Barrett's esophagus is a condition where the normal tissue lining the esophagus is replaced by tissue similar to the intestinal lining. It is a premalignant condition that increases the risk of developing adenocarcinoma of the esophagus, which is a type of cancer.