A 36 year-old man was admitted for dysphagia, food impaction and heartburn. About 10 years ago he had clinical signs of frequent gastrooesophageal reflux, but no treatment was applied and contrast X-ray showed no pathological malformation.
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A slightly-elevated flat lesion (Paris 0-IIa) was found in the middle of a Barrett’s oesophagus. LCI allowed easier detection of the lesion which consisted in several nodules with an irregular vascular pattern. The final histology was high-grade dysplasia with p53 overexpression.