Esophagitis classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Ajay Gade MD[2]] ; Aditya Ganti M.B.B.S. [3]

Overview

According to the Los Angeles Classification of esophagitis, esophagitis may be classified based on severity and etiology into 4 grades and 4 types

Classification

Grading of Severity

According to the Los Angeles Classification of esophagitis, esophagitis may be classified based on severity into 4 grades.[1][2]

Grade A One or more mucosal breaks < 5 mm in maximal length
Grade B One or more mucosal breaks > 5mm, but without continuity across mucosal folds
Grade C Mucosal breaks continuous between > 2 mucosal folds, but involving less than 75% of the esophageal circumference
Grade D Mucosal breaks involving more than 75% of esophageal circumference

Based on etiology

Type of esophagitis Etiology
Eosinophilic esophagitis
  • Milk
  • Soy
  • Eggs
  • Wheat
  • Peanuts
  • Shellfish
Reflux esophagitis
  • Caffeinated drinks
  • Spicy foods
Drug-induced esophagitis
Infectious esophagitis History of weakened immune system increases the risk of infections with

References

  1. Farivar M. "Los Angeles Classification of Esophagitis". webgerd.com. In turn citing: Lundell LR, Dent J, Bennett JR; et al. (1999). "Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification". Gut. 45 (2): 172–80. PMC 1727604. PMID 10403727. Unknown parameter |month= ignored (help)
  2. Laparoscopic bariatric surgery , Volyme 1. William B. Inabnet, Eric J. DeMaria, Sayeed Ikramuddin. ISBN 0-7817-4874-7.

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