visualized by esophagogastroduodenoscopy. Sometimes the lesions are found when endoscopy is done for other hernia symptoms than anemia such as heartburn, regurgitation, swallowing difficulty, pain or distention. When a person with iron deficiency anemia is found to have a large hernia and Cameron lesions on endoscopy, this usually explains the blood loss. A lower gastrointestinal bleeding site such as colon cancer may be excluded by colonscopy. and other tests as clinically indicated. Treatment Anemia associated with Cameron lesions usually responds to oral iron medication, which may be needed for years. Gastric acid suppression may promote lesion healing and a proton-pump inhibitor such as omeprazole is often prescribed. Surgical hernia repair is sometimes needed for indications such as refractory anemia requiring repeated blood transfusions, or anemia combined with other hernia symptoms. References Original photos in figures 1,2,3 and 4 by AJCameron, published in Gastroenterology 1986; 91: 338–342, see ref#1. This is an Elsevier journal. A letter from the Elsevier permissions help desk affirms that authors retain right to use their article in full or in part to prepare other derivative works, and as this is a retained right, no written permission is necessary, but acknowledgement should be made. Stomach disorders