We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Gastrointestinal Symptoms-Reply

Arch Surg. 1980;115(5):676-677. doi:10.1001/archsurg.1980.01380050096027.
Text Size: A A A
Published online


In Reply.—Dr Greenwald questions our methods and believes our observation regarding the insensitivity of the GE scintiscan is "almost absurd." We apologize for any confusion, but believe that he has missed the major emphasis of our report.

In an attempt to keep our article brief, our methods were not fully detailed, and for this we apologize. Symptoms associated with GE reflux most commonly include heartburn and regurgitation. Later stages of the disease can have dysphagia, esophageal obstruction, or tracheal aspiration. No patient in our study had alkaline reflux or previous peptic ulcer surgery. We would agree that erythema of the esophageal mucosa is at times an unreliable indicator of esophagitis, but certainly linear erosions, mucosal friability, ulceration, and stricture formation are more objective findings. We did not use the water siphonage test for the reasons stated by Dr Greenwald.

Dr Greenwald states that it is "generally considered" that the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.