Caso endoscópico

we present the case of a eight-year old boy with microcytic hypochromic anemia, who refused to ingest meat products for the last years. he had a good response to therapy with oral iron supplements, but with further recurrence of symptoms after stopping treatment. investigation by haematology was inconclusive. the upper endoscopy showed severe peptic esophagitis with stenosis. the patient was treated with proton pump inhibitors, dilation of the stenosis and surgery (nissen fundoplication), with good outcome.