title: Abdominal malignancy masquerading as gastro-oesophageal reflux.
abstract: Gastro-oesophageal reflux disease is a common condition, and the typical symptoms of postprandial heartburn and upper abdominal pain usually respond well to acid-suppressive medication. Occasionally, the gastro-oesophageal reflux is secondary to gastric outlet obstruction, and rarely, it is due to more distal intestinal obstruction. Two patients are described who seemed to have a primary diagnosis of gastro-oesophageal reflux but who were subsequently found to have disseminated intra-abdominal malignancy. Further investigation beyond the endoscopic confirmation of oesophagitis should be considered in patients who have typical gastro-oesophageal reflux symptoms but who also have any associated worrying clinical features.
authors: Department of Gastroenterology, Wycombe Hospital, High Wycombe, Bucks, UK.
authors: L M
authors: LM
authors: Gladman
authors: D A
authors: DA
authors: Gorard