What is Ezophagitis


  • Ezophagitis
  • Symptoms of Ezophagita
  • Treatment of Ezophagita

  • Ezophagitis

    Ezophagitis - inflammatory diseases of the mucous membrane of the esophagus. Ezophagitis is one of the most frequent diseases of the esophagus, but there are no accurate data on the frequency.

    Acute esophagitis develops as a result of the mucous membrane burn
    Hot food or drink, chemical irritating substances (iodine,
    Concentrated acids and alkali - corrosive esophagitis),
    observed in some infectious diseases (diphtheria and others.),
    esophageal injury (foreign bodies, rack - with gastroscopy),
    Radiation defeat. Abscess and phlegmon as a stage of esophagitis more often
    develop with esophageal injury to a sharp foreign body (fish bone,
    Metal needle and others.), especially when introducing it into the wall

    Subacute and chronic Ezophagitis Remarks for
    systematic alimentary violations (use too hot,
    acute food, strong alcoholic beverages and their surrogates and t. D.),
    Food allergies, stagnation and decomposition of food in the esophagus during its stenosis,
    Cancer, in large diverticulas (stagnant esophagitis). Most often
    Reflux-esophagitis (peptic esophagitis).

    Reflux Ezophagit
    arises due to cardius failure during axial hernias
    esophageal hole diaphragm (in which through the esophageal hole
    The diaphragms in the rear media shifts the esophagus and the proximal part
    stomach), after operations on the esophageal and gastric transition, when
    systemic sclerodermia and other diseases. Relative
    Cardia deficiency, as well as the cause of reflux-esophagitis,
    Observed with diseases accompanied by an increase in tone and force
    Abbreviations of the stomach and his gatekeeper (ulcer of the stomach,
    Gallgames and others.).

    Essophagitis are spicy, subacute and chronic. By morphological
    The painting is distinguished by esophagites Catarial, erosive, hemorrhagic,
    Pseudomembranous, necrotic, as well as abscess and phlegmon esophagus.
    Independent form include reflux-esophagitis.

    Approximate diagnosis wording:

    • Chronic alimentary catarrhal esophagitis.
    • Acute corrosive hemorrhagic esophagitis.

    Symptoms of Ezophagita

    Clinical symptoms are different depending on sharpness and severity
    inflammatory process. With acute catarrhal and erosive esophagitis
    There is a feeling of burning, crushing behind the sternum. With more hard
    The forms of acute esophagitis patients note a pronounced pain for the sternum
    By swallowing. In hemorrhagic esophagitis, also observed
    Bloody vomiting and melen, with pseudomambranous esophagitis in vomit
    The masses are found in the films consisting mainly of the elements of the mucous
    Firecut and fibrin shells.

    What is Ezophagitis
    The most difficult with the pattern of septic
    intoxication proceeds abscess and phlegmon esophagus. X-ray
    Study with acute erosive, hemorrhagic and pseudomambranous
    Ezophagitis is low-informative for diagnosis, with abscess and phlegmop
    esophagus it should be carried out with the greatest caution.
    Ezophagoscopy with acute esophagitis is contraindicated, the diagnosis is based
    PA Data Anamnesis and Clinical Picture. To complications for severe
    The forms of acute esophagitis include the development of media flooring.

    In chronic esophagitis of the complaint in patients the same as in acute
    Ezophagitis. During reflux-esophagitis, a stubborn heartburn is observed,
    tightening, amplifying when tilting the body and horizontal
    Patient position, often - pain behind the sternum by swallowing.
    X-ray study conducted in a horizontal position
    the patient allows you to reveal the gastroofor reflux, install
    The presence of hernia of the diaphragm esophageal hole. With the help of esophagoscopy
    evaluate the degree and nature of the inflammatory damage to the esophagus (usually
    The inflammatory process is localized in the distal part of the esophagus),
    Reveal gastroofing reflux, hernia of the esophageal hole
    Diaphragm. During reflux-esophagite, the acidity of gastric juice is increased.
    A long current reflux-esophagitis may complicate
    Inflammatory and scar stricture of the esophagus.

    The diagnosis of acute esophagitis usually does not cause difficulties. At
    Reflux Ezophagite Clinical Picture Also in most cases
    characteristic, significant difficulties in differential diagnosis with
    other diseases do not occur. X-ray study with susceptible barium sulfate and esophagoscopy confirm the diagnosis. IN
    individual cases when the prudent pain resembles a coronary,
    Differential diagnostic difficulties allows you to resolve
    Electrocardiographic examination, including a load

    Treatment of Ezophagita

    With acute esophagitis, especially hemorrhagic, pseudommabranous, and
    Also, with an abscess and phlegmon of the esophagus, an urgent
    hospitalization in the surgical department. With abscess and phlegmon
    esophagus conduct treatment with antibiotics, in the absence of effect
    Execution is shown. With light shapes of esophagitis for several days
    Prescribed hunger and antacid drugs (Almagel, Phosfalugul and DR.).
    With reflux-esophagitis, a gentle diet of the anti-sized type is recommended (diet No. 1, 1B),
    inside accept antacid and binders (Almagel for one
    dosing spoon, vicaline or vicair 1-2 tablets in the form of suspension in
    warm water and others.).

    These drugs are prescribed 5-6 times a day - after
    every meal and night, before bedtime. Sleep recommended with high
    lighted headboard bed (in order to avoid night
    Gastrointestinal reflux), all types of work are not recommended,
    associated with lifting weights over 3-4 kg or tilt of the body. At
    Reflux-esophagitis due to axial hernias of esophageal
    The holes of the diaphragm, in the absence of an effect from conservative
    Therapy shows an operational treatment that is listed
    Herge Bag in the abdominal cavity and fixation of an abdominal cut
    esophagus in the esophageal hole diaphragm. Patients with Reflux Ezophagitis
    Due to the complexity of eliminating the cause supporting its (deficiency
    cardia) should be on dispensary accounting, systematically (2-3
    times a year, according to the testimony and more often) to carry out prophylactic (in
    avoiding the exacerbation of the process) antacid and astramic treatment courses

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