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If the diagnosis is in question, biopsy specimens should be obtained, not primarily to confirm reflux but to identify alternative pathologic conditions, such as eosinophilic esophagitis (EoE)

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Additionally, intracranial (superior sagittal sinus), portal, and caval hypertension and aortal hypotension were reduced, as were the grossly congested stomach and major hemorrhagic lesions, brain swelling, venous and arterial thrombosis, congested inferior caval and superior mesenteric veins, and collapsed azygos vein