The patient was an eighty-year-old female. She underwent a Percutaneous Endoscopic Gastrostomy (PEG) in 1999 and has taken her daily nutrition through this until April 2007. She experienced a fever of 39℃ in May 2007 and was admitted to this hospital for further examination. Computed Tomography (CT) taken at the time of her admission showed pneumonia in the right lung. Furthermore, there was a moderate amount of fluid collected in the esophagus and esophageal dilatation was also observed. The patient eventually died of recurrent aspiration pneumonia. When patients are observed to have fluid collected in the esophagus and esophageal dilatation on CT, then the existence of gastroesophageal refluxdisease must be suspected and a careful nutritional strategy must be established in a timely manner.
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