Esophagitis

WikiDoc Resources for Esophagitis
Articles
Most recent articles on Esophagitis Most cited articles on Esophagitis Review articles on Esophagitis Articles on Esophagitis in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Esophagitis Images of Esophagitis Photos of Esophagitis Podcasts & MP3s on Esophagitis Videos on Esophagitis
Evidence Based Medicine
Cochrane Collaboration on Esophagitis Bandolier on Esophagitis TRIP on Esophagitis
Clinical Trials
Ongoing Trials on Esophagitis at Clinical Trials.gov Trial results on Esophagitis Clinical Trials on Esophagitis at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Esophagitis NICE Guidance on Esophagitis NHS PRODIGY Guidance FDA on Esophagitis CDC on Esophagitis
Books
Books on Esophagitis
News
Esophagitis in the news Be alerted to news on Esophagitis News trends on Esophagitis
Commentary
Blogs on Esophagitis
Definitions
Definitions of Esophagitis
Patient Resources / Community
Patient resources on Esophagitis Discussion groups on Esophagitis Patient Handouts on Esophagitis Directions to Hospitals Treating Esophagitis Risk calculators and risk factors for Esophagitis
Healthcare Provider Resources
Symptoms of Esophagitis Causes & Risk Factors for Esophagitis Diagnostic studies for Esophagitis Treatment of Esophagitis
Continuing Medical Education (CME)
CME Programs on Esophagitis
International
Esophagitis en Espanol Esophagitis en Francais
Business
Esophagitis in the Marketplace Patents on Esophagitis
Experimental / Informatics
List of terms related to Esophagitis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1],Assistant Editor-in-Chief: Soumya Sachdeva

Overview

Esophagitis (or Oesophagitis) is inflammation of the esophagus.

Common Causes

• The most common cause is gastroesophageal reflux disease (GERD). If caused by GERD, the diseases is also called reflux esophagitis.
• Other causes of esophagitis include infections (most commonly candida, herpes simplex and cytomegalovirus). These infections are typically seen in immunocompromised people, such as those with HIV.
• Food allergies have also been known to cause esophagitis
• Chemical injury by alkaline or acid solutions may also cause esophagitis, and is usually seen in children or in adults who attempt suicide.
• Physical injury resulting from radiation therapy or by nasogastric tubes may also be responsible.

Symptoms

The symptoms of esophagitis include:

1. Chest pain, in the middle of the chest, often radiating to the back, usually associated with swallowing or soon after a meal
2. Nausea, vomiting, or indigestion
3. Heartburn, acid reflux, or unpleasant taste in mouth
4. Sore throat or hoarseness
5. Mouth sores
6. Difficult and/or painful swallowing, especially if there is a feeling of food getting stuck on the way down
7. Bad breath (halitosis)
8. Excessive belching

Complete Differential Diagnosis

In alphabetical order.

• Bacterial infection
• Candida
• Caustic burn
• Crohn's Disease
• Cytomegalovirus (CMV)
• Drugs, toxins
• Fungal infection
• Gastric tube
• Gastroesophageal reflux
• Gastroscopy
• Hernias
• Herpes
• Metastasis
• Radiation
• Surgery
• Tumor
• Vomiting

Diagnostic Findings

X-ray Findings

(Images shown below are courtesy of RadsWiki)

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Endoscopic Findings

Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

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  Candida esophagitis
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  NSAID esophagitis
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  Peptic esophagitis

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  Herpetic esophagitis
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  Caustic lye esophagitis

Pathological Findings

Images courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

Gross Images

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  Esophagus: Candida: Gross natural color close up of distal esophagus mucosa, an excellent example of candida esophagitis
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  Esophagitis Candida: Gross natural color close-up, an excellent example

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  Esophagitis Candida: Gross natural color excellent close-up photo case of acute myelomonocytic leukemia
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  Necrotizing esophagitis and gastritis, sulfuric acid ingested as suicide attempt

Microscopic Images

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  Herpes esophagitis 100 x
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  Herpes esophagitis 400 x
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  Herpes esophagitis 600 x

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  Reflux esophagitis 100 x
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  Reflux esophagitis 400 x
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  Necrotizing esophagitis and gastritis, sulfuric acid ingested as suicide attempt

Histopathological Findings: Herpes esophagitis

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External links

• Esophageal disorders The Merck Manual entry for Esophageal disorders.
• Medicine.net

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