Radiation Esophagitis

Radiation esophagitis is acute esophageal inflammation due to radiotherapy for thoracic malignancy (lung/esophageal/breast/lymphoma), presenting with odynophagia, dysphagia, and chest pain during/after radiation. Treatment: PPI; topical analgesics (lidocaine rinse); hydration/nutrition (soft diet/enteral if needed); treat acute Candida superinfection; endoscopy if severe bleeding/obstruction; dilation for late stricture; supportive care; monitor long-term stricture/fistula risk.

Common Symptoms

Odynophagia/dysphagia; chest pain; during/after chest radiation

Causes and Pathogenesis

Radiation causes esophageal mucosal inflammation and possible late fibrosis/stricture.

Treatment

PPI; analgesics; nutrition; treat Candida; dilation for stricture; supportive care

Preventive Measures

Radiation field optimization; PPI prophylaxis during radiation if indicated.

Department to Visit

It is recommended to visit the Gastroenterology/Oncology/Radiation-oncology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.