Esophagitis classification: Difference between revisions

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{{Esophagitis}}
{{Esophagitis}}
{{CMG}}
{{CMG}} ; {{AE}} {{Ajay}} ; {{ADG}}
 
==Overview==
According to the ''Los Angeles Classification of esophagitis, e''sophagitis may be classified based on severity and etiology into 4 grades and 4 types
 
== Classification ==
== Classification ==
=== Grading of severity ===
=== Grading of Severity ===
The severity of esophagitis is commonly classified into four grades according to the ''Los Angeles Classification'':<ref>{{cite web |author=Farivar M. |title=Los Angeles Classification of Esophagitis |publisher=webgerd.com |url=http://www.webgerd.com/LosAngeles.htm}} In turn citing: {{cite journal |author=Lundell LR, Dent J, Bennett JR, ''et al.'' |title=Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification |journal=Gut |volume=45 |issue=2 |pages=172–80 |year=1999 |month=August |pmid=10403727 |pmc=1727604 |url=http://gut.bmj.com/cgi/pmidlookup?view=long&pmid=10403727}}</ref><ref>Laparoscopic bariatric surgery
According to the ''Los Angeles Classification of esophagitis, e''sophagitis may be classified based on severity into 4 grades.<ref>{{cite web |author=Farivar M. |title=Los Angeles Classification of Esophagitis |publisher=webgerd.com |url=http://www.webgerd.com/LosAngeles.htm}} In turn citing: {{cite journal |author=Lundell LR, Dent J, Bennett JR, ''et al.'' |title=Endoscopic assessment of oesophagitis: clinical and functional correlates and further validation of the Los Angeles classification |journal=Gut |volume=45 |issue=2 |pages=172–80 |year=1999 |month=August |pmid=10403727 |pmc=1727604 |url=http://gut.bmj.com/cgi/pmidlookup?view=long&pmid=10403727}}</ref><ref>Laparoscopic bariatric surgery
, Volyme 1. William B. Inabnet, Eric J. DeMaria, Sayeed Ikramuddin. ISBN 0-7817-4874-7.</ref>
, Volyme 1. William B. Inabnet, Eric J. DeMaria, Sayeed Ikramuddin. ISBN 0-7817-4874-7.</ref>


{|class="wikitable"
{| class="wikitable"
| Grade A || One or more mucosal breaks < 5 mm in maximal length
| Grade A || One or more mucosal breaks < 5 mm in maximal length
|-
|-
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| Grade D || Mucosal breaks involving more than 75% of esophageal circumference
| Grade D || Mucosal breaks involving more than 75% of esophageal circumference
|}
|}
=== Based on etiology ===
{| class="wikitable"
!Type of esophagitis
!Etiology
|-
|Eosinophilic esophagitis
|
* [[Milk]]
* Soy
* Eggs
* Wheat
* Peanuts
* Shellfish
|-
|Reflux esophagitis
|
* Caffeinated drinks
* Spicy foods
|-
|Drug-induced esophagitis
|
* [[Analgesics]]
* [[Antibiotics]]
* [[Potassium chloride]]
* [[Bisphosphonates]]
|-
|Infectious esophagitis
|History of weakened immune system increases the risk of infections with 
* [[Bacterial|Bacteria]]
* [[Virus|Viruses]]
* [[Fungi]]
* [[Parasitism|Parasites]]
|}
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Needs overview]]
 
[[Category:Primary care]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Inflammations]]
[[Category:Histopathology]]
[[Category:Signs and symptoms]]
[[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: 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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