This 75 year-old male, had an endoscopy a week earlier by a colleague on which describes according the endoscopic report that there was a refluxesophagitis and a hiatal hernia of large size, having aspirate 500 cc. of foul smelling dark liquid, biopsies taken from an ulceration of the gastroesophageal junction were negative for malignancy but not described lesions of the corpus or antrum, the diagnosis was not conclusive.
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