TY  - JOUR
T1  - BArrett's vs congenitally short esophagus
AU  - Hanna EA
Y1  - 1969/03/03
N1  - 10.1001/jama.1969.03150220132026
JO  - JAMA
SP  - 1716
EP  - 1716
VL  - 207
IS  - 9
N2  - To the Editor:— 
    In the case of progressive dysphagia (205:926, 1968) due to Barrett's esophagus, the dysphagia was attributed to a stricture in the midportion. Biopsy specimens at and distal to this level revealed gastric epithelium. Repair of an associated hiatal hernia and correction of gastroesophageal reflux resulted in spontaneous improvement of the stricture.A distinction has to be made between Barrett's esophagus (stricture proximal to the esophagogastric junction associated with columnar epithelium) and congenitally short esophagus in which the distal esophagus consists of a gastric tube indistinguishable radiographically from a normal appearing esophagus.1 An hiatal hernia need not be present in the latter condition but reflux and esophageal regurgitation are significant. The distinction between the two conditions is important whenever possible because the treatment of choice for congenitally short esophagus is esophageal substitution by a segment of the gastrointestinal tract.2 Through high-speed cinefluoroscopy, a gastric pattern
SN  - 0098-7484
M3  - doi: 10.1001/jama.1969.03150220132026
UR  - http://dx.doi.org/10.1001/jama.1969.03150220132026
ER  -