Thank you for your letter about this patient .There is a strong family history of gallstones in her mother,sister and brother .I think this is gastro‐esophageal reflux with a possible hiatus herni‐a .在过去的5周,她感到在饭后2小时或弯腰时出现反胃,胃烧灼感和嗝逆。这似乎使症状加重。她的母亲、姐姐和哥哥有明显 ......