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General Medicine General 88dfdb46

A 54-year-old man presents with dysphagia, heartburn, belching, and epigastric pain. A barium swallow shows a sliding hiatal hernia and a stricture situated higher than usual in the mid-esophagus. Endoscopic findings suggest Barrett's esophagus (ectopic gastric epithelium lining the esophagus). Marked esophagitis with linear ulcerations are seen during endoscopy. A biopsy shows columnar epithelium at the affected area and normal squamous epithelium above, confirming the diagnosis. What statement is TRUE regarding this condition?

A
Adenocarcinoma is less common in Barrett's esophagus
B
Most patients do not have associated gastroesophageal reflux
C
The presence of ectopic gastric lining protects against aspiration during sleep and prevents recurrent pneumonitis.
D
The present treatment is aimed at preventing esophagitis.

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