Esophagitis
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(Redirected from Oesophagitis)
| Esophagitis | |
|---|---|
| Classification and external resources | |
 Micrograph of herpes esophagitis. H&E stain. |
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| ICD-10 | K20 |
| ICD-9 | 530.10 |
| MeSH | D004941 |
Esophagitis (or oesophagitis) is inflammation of the esophagus. It may be acute or chronic. The acute esophagitis can be catarrhal or phlegmonous, whereas the chronic esophagitis may be hypertrophic or atrophic.
Contents |
[edit] Causes
[edit] Infectious
Forms of infectious esophagitis are typically seen in immunocompromised people. Types include:
Endoscopy can be used to distinguish among these conditions.[1]
[edit] Other
- The most common cause is gastroesophageal reflux disease (GERD, or GORD in British English). If caused by GERD, the disease is also called reflux esophagitis.
- Chemical injury by alkaline or acid solutions may also cause esophagitis, and is usually seen in children, as well as in adults who attempt suicide by ingestion of caustic substances[2]
- Physical injury resulting from radiation therapy or by nasogastric tubes may also be responsible.
- Hyperacidity.
- Alcohol abuse.
- Eosinophilic esophagitis is a little understood form of esophagitis, which is thought to be related to food allergies.
[edit] Grading of severity
The severity of esophagitis is commonly classified into four grades according to the Los Angeles Classification:[3][4]
| Grade A | One or more mucosal breaks < 5 mm in maximal length |
| Grade B | One or more mucosal breaks > 5mm, but without continuity across mucosal folds |
| Grade C | Mucosal breaks continuous between > 2 mucosal folds, but involving less than 75% of the esophageal circumference |
| Grade D | Mucosal breaks involving more than 75% of esophageal circumference |
[edit] References
- ^ Classen, Meinhard; Tytgat, Guido N. J.; Lightdale, Charles J. (2010). Gastroenterological Endoscopy. Thieme. p. 490. ISBN 9783131258526. http://books.google.com/books?id=Tb2Bnn_icI0C&pg=PA490.
- ^ Tierney, Lawrence M., Jr; McPhee, Stephen J.; Papadakis, Maxine A. (2007). Current Medical Diagnosis & Treatment 2007 (46 ed.). McGraw-Hill. ISBN 0071472479.
- ^ Farivar M.. "Los Angeles Classification of Esophagitis". webgerd.com. http://www.webgerd.com/LosAngeles.htm. In turn citing: Lundell LR, Dent J, Bennett JR, et al. (August 1999). "Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification". Gut 45 (2): 172–80. PMC 1727604. PMID 10403727. http://gut.bmj.com/cgi/pmidlookup?view=long&pmid=10403727.
- ^ Laparoscopic bariatric surgery , Volyme 1. William B. Inabnet, Eric J. DeMaria, Sayeed Ikramuddin. ISBN 0-7817-4874-7.
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