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Abstract
Summary There is a clinical state in which the lower end of the oesophagus is lined by gastric epithelium. The origin of this gastric mucosa is a matter of conjecture. It may be complicated by the development of reflux oesophagitis and high oesophageal stricture or by the formation of typical peptic ulcers which may haemorrhage, perforate or stenose. The correct line of treatment of this condition is a matter of debate but we have been pleased with the results achieved by a conservative approach to the problem.
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