Fig. 1
From: Esophagectomy for esophageal stricture with systemic sclerosis: a case report
Endoscopy showed a reflux esophagitis of Los Angeles classification Grade B 15 years ago (a). Endoscopy revealed Grade M reflux esophagitis 5 years ago (b), but it further worsened to Grade C 3 years ago (c). Endoscopy showed 20 mm esophageal ulcer (arrowhead) and benign stenosis due to scar tissue in the middle thoracic esophagus 1 year ago (d). Endoscopy revealed restenosis 30 cm from the incisors despite multiple balloon expansions and Grade D reflux esophagitis when the patient was referred to our department (e, f)