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__NOTOC__
{{DiseaseDisorder infobox |
{{DiseaseDisorder infobox |
  Name = Esophagitis |
  Name           = Esophagitis |
  Image= Esophagitis-003.jpg|
  Image         = Esophagitis-003.jpg|
  Caption= Esophagitis <br> (Image courtesy of RadsWiki)|
  Caption       = Esophagitis <br> (Image courtesy of RadsWiki)|
ICD10 = K20 |
ICD9 = {{ICD9|530.1}} |
  MedlinePlus    = 001153 |
  eMedicineSubj  = |
  eMedicineTopic = |
}}
}}
{{SI}}
{{Esophagitis}}
{{CMG}},'''Assistant Editor-in-Chief:''' [[User:Soumya Sachdeva|Soumya Sachdeva]]
'''For patient information on this page, click [[ Esophagitis (patient information)|here]]''' 
 
{{CMG}},{{AE}} [[User:Soumya Sachdeva|Soumya Sachdeva]], {{Ajay}}


{{SK}} Oesophagitis
{{SK}} Oesophagitis


==Overview==
==[[Esophagitis overview|Overview]]==
Esophagitis is defined as [[inflammation]] of the [[esophagus]].  The inflammation can be due to a variety of causes such as [[gastroesophageal reflux disease]], viruses, or chemical injuries.


==Pathophysiology==
==[[Esophagitis historical perspective|Historical Perspective]]==
* The most common cause is [[gastroesophageal reflux disease]] ([[GERD]]). If caused by [[GERD]], the diseases is also called '''[[reflux esophagitis]]'''.
* Other causes of [[esophagitis]] include infections (most commonly [[Candida (genus)|candida]], [[herpes simplex]] and [[cytomegalovirus]]). These infections are typically seen in [[immunocompromised]] people, such as those with [[HIV]].
* [[Food allergy|Food allergies]] have also been known to cause [[esophagitis]]
* Chemical injury by [[alkaline]] or [[acid]] solutions may also cause [[esophagitis]], and is usually seen in children or in adults who attempt [[suicide]].
* Physical injury resulting from [[radiation therapy]] or by [[nasogastric tube]]s may also be responsible.


==Causes==
==[[Esophagitis classification|Classification]]==
=== Common Causes ===
*[[Gastroesophageal reflux disease]]


===Casues in Alphabetical Order===
==[[Esophagitis pathophysiology|Pathophysiology]]==
* [[Gastroesophageal reflux disease]]
* [[GERD]])
* [[Reflux esophagitis]]


* Other causes of [[esophagitis]] include infections (most commonly [[Candida (genus)|candida]], [[herpes simplex]] and [[cytomegalovirus]]). These infections are typically seen in [[immunocompromised]] people, such as those with [[HIV]].
==[[Esophagitis causes|Causes]]==
* [[Food allergy|Food allergies]] have also been known to cause [[esophagitis]]
* Chemical injury by [[alkaline]] or [[acid]] solutions may also cause [[esophagitis]], and is usually seen in children or in adults who attempt [[suicide]].
* Physical injury resulting from [[radiation therapy]] or by [[nasogastric tube]]s may also be responsible.


==Diagnosis==
==[[Esophagitis differential diagnosis|Differentiating Esophagitis from Other Diseases]]==
=== Symptoms ===
The symptoms of esophagitis include:
*[[Bad breath]] ([[halitosis]])
*[[Chest pain]], in the middle of the chest, often radiating to the back, usually associated with swallowing or soon after a meal
*[[Difficulty swallowing]] and/or [[painful swallowing]], especially if there is a feeling of food getting stuck on the way down
*[[Hoarseness]]
*[[Mouth sores]]
*[[Nausea]]
*[[Sore throat]]
*[[Vomiting]]


Symptoms of underlying diseases that cause esophagitis include:
==[[Esophagitis epidemiology and demographics|Epidemiology and Demographics]]==
*[[Indigestion]]
*[[Heartburn]], [[acid reflux]], or [[unpleasant taste in the mouth]]
*[[Excessive belching]]


== Complete Differential Diagnosis ==  
==[[Esophagitis risk factors|Risk Factors]]==


In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
==[[Esophagitis screening|Screening]]==


* [[Bacterial infection]]
==[[Esophagitis natural history, complications and prognosis|Natural History, Complications, and Prognosis]]==
* [[Candida]]
* [[Caustic burn]]
* [[Crohn's Disease]]
* [[Cytomegalovirus]] ([[CMV]])
* [[Drugs]], [[toxins]]
* [[Fungal infection]]
* [[Gastric]] tube
* [[Gastroesophageal reflux]]
* [[Gastroscopy]]
* [[Hernias]]
* [[Herpes]]
* [[Metastasis]]
* [[Radiation]]
* [[Surgery]]
* [[Tumor]]
* [[Ddx:Nausea and Vomiting|Vomiting]]


==Diagnostic Findings==
==Diagnosis==
 
[[Esophagitis history and symptoms|History and Symptoms]] | [[Esophagitis physical examination|Physical Examination]] | [[Esophagitis laboratory findings|Laboratory Findings]] | [[Esophagitis x ray|X Ray]] | [[Esophagitis CT|CT]] | [[Esophagitis MRI|MRI]] | [[Esophagitis other imaging findings|Other Imaging Findings]] | [[Esophagitis other diagnostic studies|Other Diagnostic Studies]]
===X-ray Findings===
 
(Images shown below are courtesy of RadsWiki)
 
<gallery>
Image:Esophagitis-002.jpg
Image:Esophagitis-003.jpg
</gallery>
 
<gallery>
Image:Esophagitis-004.jpg
Image:Esophagitis-005.jpg
</gallery>
 
===Endoscopic Findings===
 
[http://www.peir.net Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
 
<gallery>
Image:Candida esophagitis endoscopy 1.jpg|Candida esophagitis
Image:NSAID esophagitis 1.jpg|NSAID esophagitis
Image:Peptic esophagitis 1.jpg|Peptic esophagitis
</gallery>
 
<gallery>
Image:Herpetic esophagitis 1.jpg|Herpetic esophagitis
Image:Caustic lye esophagitis 1.jpg|Caustic lye esophagitis
</gallery>
 
===Pathological Findings===
 
[http://www.peir.net Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology]
 
====Gross Images====
 
<gallery>
Image:Candida esophagitis 1.jpg|Esophagus: Candida: Gross natural color close up of distal esophagus mucosa, an excellent example of candida esophagitis 
Image:Candida esophagitis 2.jpg|Esophagitis Candida: Gross natural color close-up, an excellent example
</gallery>
 
 
<gallery>
Image:Candida esophagitis 3.jpg|Esophagitis Candida: Gross natural color excellent close-up photo case of acute myelomonocytic leukemia
Image:Necrotizing esophagitis 1.jpg|Necrotizing esophagitis and gastritis, sulfuric acid ingested as suicide attempt
</gallery>
 
====Microscopic Images====
 
<gallery>
Image:Herpes esophagitis micro 100.jpg|Herpes esophagitis 100 x
Image:Herpes esophagitis micro 400.jpg|Herpes esophagitis 400 x
Image:Herpes esophagitis micro 600.jpg|Herpes esophagitis 600 x
</gallery>
 
<gallery>
Image:Reflux esophagitis micro 1.jpg|Reflux esophagitis 100 x
Image:Reflux esophagitis micro 2.jpg|Reflux esophagitis 400 x
Image:Necrotizing esophagitis micro 1.jpg|Necrotizing esophagitis and gastritis, sulfuric acid ingested as suicide attempt
</gallery>
 
 
====Histopathological Findings: Herpes esophagitis====


<youtube v=bJME-CJvHfs/>
==Treatment==
[[Esophagitis medical therapy|Medical Therapy]] | [[Esophagitis surgery|Surgery]] | [[Esophagitis primary prevention|Primary Prevention]]  | [[Esophagitis secondary prevention|Secondary Prevention]] | [[Esophagitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Esophagitis future or investigational therapies|Future or Investigational Therapies]]


==References==
==Case Studies==
{{Reflist|2}}
[[Esophagitis case study one|Case #1]]


{{Gastroenterology}
{{Gastroenterology}}


[[de:Ösophagitis]]
[[it:Esofagite]]
[[pt:Esofagite]]
[[pt:Esofagite]]
[[ru:Эзофагит]]
[[ru:Эзофагит]]
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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Inflammations]]
[[Category:Histopathology]]
[[Category:Signs and symptoms]]
[[Category:Disease]]
[[Category:Disease]]

Latest revision as of 21:41, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1],Associate Editor(s)-in-Chief: Soumya Sachdeva, Ajay Gade MD[2]]

Synonyms and keywords: Oesophagitis

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Esophagitis from Other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

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