A 48-year-old man with a 10-year history of heartburn presents with epigastric pain (8/10) worsening postprandially and when supine. Vitals: BP 128/82, HR 88, RR 16, Temp 37.2°C, SpO2 98%. He denies dysphagia. Upper endoscopy reveals salmon-colored mucosa in the distal esophagus extending 3 cm above the gastroesophageal junction. Biopsy demonstrates intestinal-type goblet cells. Which diagnosis best explains these findings?
- A)Eosinophilic esophagitis
- B)Barrett esophagusGABARITO
- C)Mallory-Weiss syndrome
- D)Achalasia
- E)Esophageal squamous cell carcinoma
Explicação
Barrett esophagus is intestinal metaplasia of the distal esophageal squamous epithelium caused by chronic GERD. Goblet cells on biopsy confirm the diagnosis. Ver explicação completa e trilha adaptativa →