The movement of the proximal stomach into the thorax.
Charlie Berger, a 58-year-old obese man, comes to a nurse practitioner because he has difficulty swallowing, heartburn, and occasional regurgitation. Answering his nurse practitioner’s questions, Mr. Berger says that his symptoms worsen when he drinks coffee or alcohol. Endoscopy reveals inflammation in his lower esophagus and poor closure of the … Read more