A 50-year-old male consulted due to a five-year history of heartburn, with esophageal dysphagia over the last year. Esophagoscopy showed a foreign body consisting of plant material; after removing it, narrowing (< 12.5 mm) was found which blocked the endoscope's passage. Proximal to this narrowing were esophageal mucosal breaks spanning less than 75% of the circumference, with a maximum length of 1.5 cm. No biopsies were taken due to mucosal friability. (Figures 1, 2). The diagnosis was: esophageal stenosis secondary to gastroesophageal reflux (GER), suspected esophageal metaplasia (Barrett's esophagus) and grade C esophagitis. The current diagnostic model for GER revolves around the identifi cation of esophageal and extraesophageal symptoms, as well as mucosal damage (esophagitis, Barrett's esophagus, stenosis and adenocarcinoma) ^1,2. This case illustrates three esophageal complications caused by GER. Esophageal dilation, treatment with omeprazole and follow up to histologically rule out Barrett's esophagus were ordered.

Figura 1  Cuerpo extraño esofágico constituído por material vegetal.  

Figura 2  Estenosis esofágica, Esofagitis grado C y sospecha endoscópica de metaplasia esofágica.