Esophagitis - types , diagnosis , treatment methods


1. Reflux - esophagitis

2. catarrhal and erosive esophagitis

3. Diagnosis and treatment

Esophagitis - a disease of the esophagus, which is accompanied by inflammationits mucosa.

His reasons may be the following factors:

  • systematic stimulation of the esophageal mucosa in the use of sharp, rough, poorly chewed food and alcoholic beverages;
  • some infectious diseases, such as diphtheria, scarlet fever, sepsis;
  • stagnation and decomposition of food masses in the esophagus as a result of the narrowing (stenosis) due to scar structure;
  • esophageal burn chemicals (strong acids, iodine, alkalis);
  • hiatal hernia;
  • consequences of surgical intervention with resection of the stomach;
  • increased intra-abdominal pressure (eg during pregnancy or due to tumors of the abdominal cavity).

most common cause of esophagitis is reflux, iecasting or leaking of gastric juices into the esophagus at the cardia insufficiency (reflux - esophagitis).

There are such forms of esophagitis in the cli

nical course:

  • acute;
  • subacute;
  • chronic.

As for the morphological changes that distinguish:

  • catarrhal esophagitis;
  • hemorrhagic;
  • pseudomembranous;
  • erosive;
  • necrotizing.

catarrhal and erosive esophagitis provokes constant pain along the esophagus when swallowing, burning sensation behind the breastbone, and sometimes even a sense of short-term delay of ingested food (dysphagia).

Hemorrhagic Esophagitis is dangerous because the patient may experience bloody vomit.And when pseudomembranous esophagitis in vomit can detect fibrin film.

extremely dangerous form is Necrotic esophagitis.He is accompanied by numerous complications: severe bleeding, mediastinitis.

addition to the above forms of diseases, allocate more:

  • Alimentary esophagitis resulting from the abuse of too hot and spicy food and alcoholic beverages;
  • Professional esophagitis associated with exposure profvrednostey: salts of heavy metals, vapors concentrated acids and caustic alkalis;
  • Stagnant esophagitis occurs during stimulation of the esophageal mucosa remains accumulated in it food;
  • Allergic esophagitis tends to develop on the background of changes in reactivity.This form is common in children as a result of food allergies and asthma.

Reflux - esophagitis

Reflux - esophagitis - most frequently occurring disease of the esophagus.It develops in the lining of the esophagus frequent contact with acidic gastric contents.

cause of reflux can be reduced sphincter tone (achalasia), his occasional relaxation or violation of the integrity of the diaphragm legs, accompanied by her hernia of an esophageal aperture.These factors may occur separately or in various combinations.Also, reflux esophagitis characterized sustained removal of hydrochloric acid from the esophagus.

When reflux esophagitis central symptoms in the clinical picture are heartburn, belching air, pain behind the breastbone or in the epigastrium, which arise during or after a meal.These symptoms of reflux - esophagitis can be amplified when the patient lies down or bends torso forward.

reflux esophagitis patients also complain of night sweats, persistent cough or asthma, thus, can not mention heartburn.

main goal of treatment of this type of disease - to prevent exposure to hydrochloric acid in the stratified squamous epithelium of the esophagus.esophagitis Treatment consists of these steps:

Firstly, to prevent reflux - esophagitis patients is not recommended to go to bed immediately after a meal.Also it is necessary to raise the head of the bed.In addition, it prohibited the use of before going to bed, it is better to do it in 3 hours, so that the food could be absorbed.

Second, to reduce the acidity of gastric contents prescribe the necessary medication drugs.

Third, you need to follow a special diet gentle.

catarrhal and erosive esophagitis

catarrhal esophagitis - a disease that is accompanied by inflammation of the esophageal mucosa.It can be both acute and chronic.If the disease acute, the catarrhal esophagitis develops under the influence of a sharp negative factor in the esophageal mucosa, and in chronic - is a constant exposure to the harmful agent.

catarrhal esophagitis main symptoms are heartburn, belching, dull pain of varying intensity in the esophagus during swallowing or after its use, vomiting, or a burning sensation behind the breastbone.Sometimes the pain can be felt in the interscapular region, and during trunk bending forward, it is becoming more intense.

important that during the catarrhal esophagitis, unlike other forms of the disease, no ulcer and erosion, necrotic layers, varicose veins or fibrin film.

But in the case of ineffective treatment of esophagitis, it can progress to a more complicated form of the disease - necrotizing ulcerative or erosive esophagitis.

Erosive Esophagitis - an inflammatory disease with esophageal lesions and the appearance of erosions on it.It is characterized by a constant heartburn, pain in the course of the esophagus, especially while eating, burning sensation behind the breastbone, belching with an admixture of blood, mucus or food regurgitation.From time to time there is vomiting blood.The patient develops weakness, dizziness, anemia due to chronic blood loss.And in the event of the accession of infection may be serious complications, mediastinitis, abscess, perforation erosions with profuse bleeding, intestinal metaplasia mucosa with the development of Barrett's esophagus.

In case of complications with erosive esophagitis or the appearance of bleeding need urgent hospitalization.In general, the prognosis of erosive esophagitis beneficial if therapy is started on time and in full.

Diagnosis and treatment

Diagnosis of the disease can be made based on the patient's complaints, the results of manometry, pH-metry and esophageal fibrogastroscopy.The patient must undergo X-ray of the esophagus with barium, and a blood test.

esophagitis Treatment involves first observance of special diet with the exception of harmful and irritating foods, especially acute.Also restrict smoking, alcohol and coffee.A thermally soft foods in the form of jelly, mucous soups and cereals helps to heal erosions.

As for pharmacological treatment of esophagitis, is to accelerate the healing of erosions prescribe blockers H + receptors, antacids, anti-inflammatory agents and enveloping.

Traditional medicine offers the use decoctions of herbs, having hemostatic, bactericidal, wound-healing and anti-inflammatory action.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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