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Atypical dyspepsia
  1. R Palmer1,
  2. F MacLeod2,
  3. J Marshall3
  1. 1
    Department of Gastroenterology, Oxford Radcliffe Hospital NHS Trust, John Radcliffe Hospital, Oxford, UK
  2. 2
    Department of Radiology, Oxford Radcliffe Hospital NHS Trust, Horton General Hospital, Banbury, UK
  3. 3
    Department of Gastroenterology, Oxford Radcliffe Hospital NHS Trust, Horton General Hospital, Banbury, UK
  1. Correspondence to Dr R Palmer, Department of Gastroenterology, Oxford Radcliffe Hospital NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK; rebeccapalmer{at}doctors.net.uk

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Clinical presentation

A 68-year-old man with a history of dyspepsia and hiatus hernia presented with 15 kg weight loss with occasional nausea and vomiting episodes over the previous year. He was not taking any regular medication. He underwent gastroscopy, colonoscopy and barium swallow 1 year earlier to investigate change in bowel habit and dyspepsia. These tests revealed hiatus hernia and a non-specific motility disorder of the distal oesophageal segment. Clinical examination was unremarkable.

Blood tests were all normal. An …

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