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A 50-year-old woman with a recurrent oesophageal stricture
  1. Tahir Akbar1,
  2. Adnan Al Badri2,
  3. John N Gordon1
  1. 1Department of Gastroenterology, Hampshire Hospitals NHS Foundation Trust, Royal Hampshire County Hospital, Winchester, UK
  2. 2Department of Histopathology, Hampshire Hospitals NHS Foundation Trust, Royal Hampshire County Hospital, Winchester, UK
  1. Correspondence to Dr John N Gordon, Hampshire Hospitals NHS Foundation Trust, Royal Hampshire County Hospital, Winchester, SO22 5DG,UK; john.gordon{at}hhft.nhs.uk

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Clinical presentation

A 50-year-old woman presented with a 4-month history of progressive dysphagia and associated weight loss. Her medical history was unremarkable, and she was not taking any medication. Gastroscopy revealed a tight impassable stricture at 30 cm (figure 1A) confirmed on barium swallow (figure 1B). Biopsies from the stricture were reported as consistent with reflux oesophagitis with no evidence of malignancy. The stricture was dilated revealing a short segment of normal distal oesophagus above a small hiatus hernia. She was started on a high-dose proton pump inhibitor. She re-presented 3 months later with recurrent dysphagia and …

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