10-year Chronic Heartburn in Medicine / Internal Medicine — 60yo Man | Gastroenterology | SMLE Q#17431
SMLE Question #17431
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 60-year-old man presents to an outpatient gastroenterology clinic with a 10-year history of chronic heartburn and regurgitation that partially improves with over-the-counter antacids. Over the last month, he has had two episodes of small-volume hematemesis after meals, with no melena, weight loss, or forceful retching. Upper endoscopy shows tongues of salmon-colored mucosa in the distal esophagus extending above the gastro-oesophageal junction, and biopsies are taken. Which of the following is the most likely diagnosis?
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