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Anti reflux mechanism (lower esophageal sphincter) weakens, dilates and gastric content refluxes in to the esophagus and the lungs (B): as a consequence asthma and chronic cough occur. Within the relaxed and private atmosphere of our office the physician sits down with you to listen and learn about your complaints to learn which symptoms and signs impair your life quality, productivity and well being. Most importantly the conversation aims to assess a risk profile, which is the basis for later disease (cancer) prevention.

Finally YOU will be informed on the presence or absence of any relevant cancer risk and if cancer preventive strategies will be recommended. The lower end of the esophagus permanently dilates, this is the dilated distal esophagus (trumpet), which develops at the cost of the functioning lower esophageal sphincter (C).

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