What early symptom does esophagitis have?

summary

Esophagitis refers to the esophageal mucosa superficial or deep tissue due to abnormal stimulation, in life, we need to eat more fresh fruits and vegetables, has no grains, esophageal mucosa edema and congestion caused by inflammation. These stimulations include stomach acid, bile from duodenum, liquor, pepper, too hot vegetable soup, too hot tea and so on. So we come to understand what early symptom does esophagitis have??

What early symptom does esophagitis have?

The incidence rate of ulceration in ulcer Barrett esophagus is 2% to 54%. Esophageal columnar epithelium can be ulcerated after being eroded by acid digestive juice, and it has symptoms similar to gastric ulcer. Pain can radiate to the back, and can cause perforation, bleeding, infiltration, stenosis after ulcer healing, and symptoms of hypopharynx. It can even penetrate the aorta, causing massive bleeding and rapid death. There are two pathological types of Barrett's ulcer. The most common type is superficial ulcer in squamous epithelium, which is similar to that caused by reflux esophagitis. Another rare type is deep ulcer in columnar epithelium, similar to peptic ulcer.

Second, esophageal stricture is the most common complication of Barrett's esophagus, with an incidence of 15% - 100%. The stenotic sites were more than the squamous columnar junction in the middle and upper esophagus, and the strictures caused by gastroesophageal reflux were mostly located in the lower esophagus. The incidence of reflux esophagitis was 29% - 82%. The lesions may involve columnar epithelium alone, squamous epithelium and columnar epithelium at the same time.

Third, the incidence of cancer in malignant Barrett's esophagus is uncertain, and long-term reflux into Barrett's esophagus may play a role in malignant transformation. However, some studies suggest that anti reflux surgery can not make the columnar epithelium subside or reduce the risk of malignant transformation. Dysplasia can occur in the columnar epithelium of Barrett's esophagus. The degree of dysplasia can be from low to high. Sometimes, it is difficult to distinguish low-grade dysplasia from normal columnar epithelium. Sometimes, it is difficult to distinguish high-grade dysplasia from carcinoma in situ, and it can progress to invasive carcinoma. These malignant tumors are adenocarcinoma. It should be pointed out that there is a difference between gastric cardia adenocarcinoma with benign columnar epithelium and columnar epithelium dysplasia as adenocarcinoma. It is generally accepted that Barrett's esophageal dysplasia is a precancerous condition.

matters needing attention

Taking metoclopramide or modoline 15-30 minutes before meal can increase the pressure of lower esophageal sphincter, accelerate gastric emptying and reduce reflux. Cisapride can also be used as a new gastrointestinal motility drug.