H Endoscopic diagnostic criteria (Fig. 3.43)
► Highly variable
- Erythema, edema
- Luminal narrowing
- Sloughing, ulceration, necrosis, pseudomembranes
► Subacute and chronic:
- Ulceration, fistulation
- Strictures, whitish scars
- Telangiectatic vessels
► With a typical history, the diagnosis is reasonably certain
Checklist for endoscopic evaluation
► Location of the lesions
► Severity of any strictures that are present
Additional Studies ► Caution: Biopsy poses a risk of fistula formation.
No specific treatment is available. Strictures may respond to peroral dilation.
Fig. 3.42 Alkaline reflux esophagitis in a postgastrectomy patient b
Fig. 3.42 Alkaline reflux esophagitis in a postgastrectomy patient
Fig. 3.43 a, b Radiogenic esophagitis b
Was this article helpful?