Reflux esophagitis
Contents:
Description:
Reflux esophagitis – an inflammation of a distal part of a gullet as a result of throwing (reflux) of acid contents from a stomach (gastroesophageal reflux disease).
Symptoms Reflux esophagitis:
The main symptom are the pains of various intensity which are localized at the level of a xiphoidal shoot, behind a breast and amplifying in horizontal position, at an exercise stress and at night. The second for frequency a symptom – heartburn which arises owing to impact of acid gastric contents on a mucous membrane of a gullet. Heartburn arises after food, at an exercise stress or horizontal position of a body. A symptom, the third on frequency, is the eructation indicating an incompetence of cardia. Vomiting of food, especially after its reception in is sometimes noted at body tilts. The dysphagy is one of frequent symptoms heavy a reflux esophagitis. It is shown by the coming feeling of a delay of food at the level of a xiphoidal shoot. A constant the dysphagy becomes when forming a peptic stricture of a gullet.
Reasons Reflux esophagitis:
Incidentally symptoms of this disease arise at a half of adult population. Men and women are ill equally often, as a rule aged from 20 up to 45 years.
The gastroesophagal reflux (gastroesophageal reflux disease) caused by insufficiency of the locking mechanism of the cardia is the cornerstone of a pathogeny of a disease. It occurs at the sliding hernias of an esophageal opening of a diaphragm, a short gullet, an ulcer stenosis of output department of a stomach, heavy vomiting. Usually the disease proceeds easily, is shown by the separate not sharply expressed symptoms and, often, does not demand special treatment. However in some cases the reflux esophagitis (an erosive esophagitis) is followed by the life-threatening complications demanding surgical treatment. Long influence of acid and bile on mucous a gullet leads to its chronic inflammation and change of properties (a metaplasia, a dysplasia). Such disease which is followed by irreversible transformation mucous carries the name Barrett's gullet today., the centers changed mucous lower parts of a gullet are also a source of growth of a cancer tumor.
Treatment Reflux esophagitis:
(Gastroesophageal reflux disease) of easy and average degree conservative treatment (anti-reflux medicamentous therapy) is shown to most of patients about a reflux esophagitis.
At heavy complicated a reflux esophagitis (an erosive esophagitis) and unsuccessfulness of its conservative treatment the selection proximal vagisection (SPV) with fundoplication is shown. Short peptic strictures are successfully treated by bougieurage with the subsequent SPV and fundoplication. At extended peptic strictures the gullet extirpation with single-step plastics a gastric tube is shown. The reflux esophagitis in combination with Barrett's gullet is also the indication to operational treatment.
