Reflux Esophagitis

Reflux esophagitis is inflammation of distal esophageal mucosa due to gastroesophageal reflux, presenting with heartburn, regurgitation, odynophagia, and possible erosions/ulcers on endoscopy (Los Angeles grade A-D). Treatment: PPI (standard/high dose); lifestyle (weight loss, elevate head, avoid late meals/trigger foods); H2 blocker/prokinetic as add-on; endoscopy to grade and rule out Barrett/esophageal cancer; treat Barrett with surveillance/ablation; dilation for stricture; laparoscopic fundoplication in refractory; long-term follow-up.

Common Symptoms

Heartburn/regurgitation; odynophagia; erosive esophagitis on endoscopy

Causes and Pathogenesis

Acidic refluxate causes distal esophageal mucosal inflammation and possible erosion.

Treatment

PPI; lifestyle; endoscopy grading; treat Barrett/stricture; surgery if refractory

Preventive Measures

Weight loss; avoid late meals/trigger foods; elevate head.

Department to Visit

It is recommended to visit the Gastroenterology 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.