Early reflux esophagitis typically is characterized on doublecontrast studies by granularity of the distal esophagus secondary to mucosal edema and inflammation [1] . Shallow ulcers appear as punctate, linear, or serpiginous barium collections, sometimes associated with radiating folds [1]. This ulceration almost always extends proximally from the gastroesophageal junction as a continuous area of disease, so ulcers that are confined to the upper or midesophagus should suggest another cause for

more »

... he patient's disease. Scarring from reflux esophagitis can lead to the development of refluxinduced (peptic) strictures, typically seen as smooth, tapered areas of distal esophageal narrowing or as asymmetric ringlike strictures above a hiatal hernia [1] .