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Explain the role of the lower esophageal sphincter (LES) in preventing gastroesophageal reflux.
Explain the role of the lower esophageal sphincter (LES) in preventing gastroesophageal reflux.
The LES is a bundle of muscles at the low end of the esophagus, where it meets the stomach, and maintains tonic contraction to serve as the primary barrier against gastroesophageal reflux. It works in conjunction with the diaphragm and prevents acidic gastric reflux under positive pressure.
What is the primary function of stratified squamous epithelium in the esophagus?
What is the primary function of stratified squamous epithelium in the esophagus?
The stratified squamous epithelium in the esophagus is resistant to the abrasion of foods and sensitive to acid, providing protection against the effects of acid reflux.
What are the gross and microscopic features of reflux esophagitis?
What are the gross and microscopic features of reflux esophagitis?
Gross features may include erythema, friability, and ulceration. Microscopic features may include basal zone hyperplasia, papillary elongation, and inflammatory cell infiltration.
What are the clinical features of reflux esophagitis?
What are the clinical features of reflux esophagitis?
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What are the complications of reflux esophagitis?
What are the complications of reflux esophagitis?
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