3 Years Of Heartburn in Medicine / Internal Medicine — 55yo Man | Gastroenterology | SMLE Q#16928
SMLE Question #16928
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 55-year-old man presents to a gastroenterology clinic with 3 years of heartburn and regurgitation partially relieved by proton pump inhibitors. He has no dysphagia, odynophagia, or weight loss. Upper endoscopy shows salmon-colored, velvety mucosa extending 3 cm above the gastroesophageal junction in the distal esophagus. Biopsies from this segment show intestinal metaplasia with goblet cells. What is the most likely diagnosis?
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