Differential Diagnosis

The main disease to be considered in differential diagnosis, from both a clinical and endoscopic standpoint, is esophageal carcinoma.

Table 3.5 Association between history and cause of complaints in various forms of esophagitis

Fig. 3.46 Oral contrast radiograph. Lateral cervical diverticulum

Table 3.5 Association between history and cause of complaints in various forms of esophagitis

History

Cause of complaints

Otherwise healthy

Reflux disease

Previous surgery

Alkaline reflux disease

- Billroth II stomach

- Gastrectomy

Known gastrointestinal dis-

ease

- Inflammatory bowel dis-

Crohn disease

ease

Stasis esophagitis

- Motility disorder

(scleroderma, achalasia)

Immunosuppression

- HIV infection

CMV, HSV, or Candida

- Systemic hematological

esophagitis

disease

- Diabetes mellitus

- Iatrogenic

Irradiation

Radiation-induced

esophagitis

Ingestion of potentially

harmful substances

- Acute: medications, for-

Pressure injury, toxic injury

eign bodies, alcohol

- Prior history of caustic in

Esophageal neoplasia

gestion

Fig. 3.47 Cervical diverticulum. Food residues in the diverticulum, compressing the esophageal lumen (top)

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