Dr. Ertan Beyatlı

Esophageal inflammation (Esophagitis)

(Update: ) - Digestive System Diseases

Inflammation of the esophagus Esophagitis called. This inflammation can be acute or chronic (chronic). The name for this disease is the Latin esophagus. (esophagus) and –itis takes from the supplement. English esophagitis.

What causes inflammation?

The most common cause in the community is stomach acid. This - Reflux Esophagitis - called (GERD - gastroesophageal reflux disease). This is due to the insufficient lid between the esophagus and stomach (see: LES Slack).

Esophagitis - Inflamed esophagus (esophagus) appearance during endoscopy

Bacterial, fungal or viral infection may occur in patients with a weak system. (esophageal candidiasis, Herpes esophagitis). Corrosive substances such as acid or alkali can irritate the esophagus. This condition is usually seen in children, mentally ill patients or suicide attempts. In addition, the esophagus can become inflamed during procedures such as radiation therapy (radiotherapy), nasal tube insertion (nasogastric tube) or endoscopy. Allergies to certain foods and drinks can affect the esophagus (see: eosinophilic esophagitisat the rest of the article).

Esophageal inflammation can only be a part of some diseases such as Crohn's disease.

How to understand esophagitis?

Most of the esophagus is located in the rib cage. Therefore, in cases of inflammation, burning and heartburn in the stomach and chest, nausea and pain can be seen. Also difficult to swallow - dysphagia - and painful swallowing - odynophagia - can accompany. These complaints may increase especially - after meals.

Endoscopy can be performed first for diagnosis (see: How is an endoscopy done?). Endoscopy can be performed according to the degree and severity of inflammation - Los Angeles (LA) - classification.

Los Angeles Esophagitis Classification
Los Angeles Esophagitis classification

Classification of LA of Esophagitis

  • Grade A Esophagitis Loss of one or more mucous membranes shorter than 5 mm
  • Grade b - loss of one or more mucous membranes longer than 5 mm (no connection between mucous folds)
  • Grade c Loss of mucous membrane extending between the mucous folds (<75% less around the esophagus)
  • Grade D Loss of mucosa involving> 75% of the esophageal circumference.

How is esophagitis treated?

Treatment is done according to the reasons. In cases of inflammation related to acid reflux, various drugs can be given to reduce stomach acid. In cases of infection antibiotics is started.

Early diagnosis is very important. If left untreated, severe damage to the esophagus will occur. Sometimes strictures and sometimes tissue change can be seen due to this damage. (dysplasiametaplasia Barrett's esophagus).

In progressive and untreated cases, there is a possibility of esophageal cancer development. (Esophagus CA). In surgical treatment, various anti-reflux surgeries can be applied.


Exceptions

LES Slack (LES)

In the case of LES Loss, the acid in the stomach moves towards the esophagus and causes irritation and scarring there (Reflux Esophagitis). This condition is also known as Gastro-Esophageal Reflux Disease (GERD). For more information on LES Slack: What does KÖS mean? What is LES Looseness?

Eosinophilic Esophagitis

In this condition, white blood cells (eosinophils) accumulate in the esophagus. It is a chronic immune system disease. For more information on this topic: What are the symptoms of eosinophilic esophagitis?

What is Barrett's Esophagus?

In this case, the cover covering the esophagus changes and turns into a tissue that resembles the intestinal lining. Barrett's esophagus increases the risk of esophageal cancer (Esophageal CA). For more information on Barrett's esophagus: What is Barrett's Esophagus?

Odynophagia

Odynophagia means painful swallowing. For detailed information about Odynophagia: Odynophagia: Causes, diagnosis and treatment method

Keywords: esophagus, esophagitis, kos insufficiency, lesion laxity, GERD, endoscopy, barrett esophagus, odynophagia, fundoplication

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