Diagnosis

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

Differential diagnosis

► 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.

Comments

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

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