Published online Jun 16, 2022. doi: 10.12998/wjcc.v10.i17.5841
Peer-review started: December 12, 2021
First decision: February 8, 2022
Revised: February 18, 2022
Accepted: April 9, 2022
Article in press: April 9, 2022
Published online: June 16, 2022
Processing time: 178 Days and 18.7 Hours
Barrett’s esophagus is a known complication of long-standing gastroesophageal reflux disease, and it is a potential risk factor of developing esophageal adenocarcinoma.
Here, we present a case of a 47-year-old male patient referred to the gastroenterology clinic for upper endoscopy because he has a long-standing history of heartburn and vomiting after meals. On examination, he had characteristic findings of self-induced vomiting as abrasions and callosities on the dorsum of the right hand and dental erosions. A detailed history revealed that he had 17 years of binge eating with self-induced vomiting. His upper endoscopy showed gastroesophageal reflux grade D with salmon-red mucosal projections, and the biopsy revealed intestinal mucosal metaplasia.
This case emphasized the importance of considering upper endoscopy screening for Barrett’s esophagus in patients with eating disorders, especially those with self-induced vomiting, as in bulimia nervosa.
Core Tip: Barrett’s esophagus is a known complication of long-standing gastroesophageal reflux disease. Here, we present a case of a 47-year-old male patient with a long-standing history of heartburn and vomiting after meals. Upper endoscopy showed gastroesophageal reflux grade D with intestinal mucosal metaplasia. This emphasized the importance of considering upper endoscopy screening for Barrett’s esophagus in patients with eating disorders, especially those with self-induced vomiting, as in bulimia nervosa.