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Article
October 13, 1956

PEPTIC ULCER OF THE ESOPHAGUS AND ESOPHAGITIS IN GASTRIC-LINED ESOPHAGUS

JAMA. 1956;162(7):641-644. doi:10.1001/jama.1956.72970240005008b
Abstract

In textbooks of pathology, chronic peptic ulcer of the esophagus has been described for many years as a rare condition of unknown etiology. In 1950, Barrett1 pointed out that a congenital anomaly of the epithelium lining the lower esophagus was present in these cases and was a predisposing cause for the development of such an ulcer. In this anomaly, a variable length of the distal esophagus is lined by glandular or an atrophic type of gastric epithelum. A discrete chronic peptic ulcer in gastric-lined esophagus has been referred to as a "Barrett" ulcer by later authors.2 The following case is an example of this congenital anomaly and demonstrates the occurrence not only of a chronic peptic ulcer but of peptic esophagitis as well.

Report of a Case  This patient was hospitalized for the first time in November, 1943, at the age of 75, with the complaints of dysphagia,

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