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 Best of Five 2.24

 

   

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BOF: 2.24

A 65-year-old male presents with intermittent dysphagia.  There is no loss of weight. He is referred for endoscopy and the endoscopist reports a tight peptic stricture, which is dilated successfully. Biopsies from the area do not reveal a malignancy.

In the long term management of this patient the most important step would be:

a)      Long term acid suppression with a proton pump inhibitor

b)      Regular endoscopic surveillance

c)      Regular dilatation to prevent recurrence

d)      Insertion of an oesophageal stent

e)      Formal surgical correction of the stricture

 

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