Is Grade C reflux esophagitis serious?

Written by Luo Peng

Thoracic Surgery

Updated on September 25, 2024

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Reflux esophagitis is classified into grades A, B, C, and D according to the severity of the condition, primarily based on the extent of damage to the esophageal mucosa. Grade C reflux esophagitis, in particular, is considered when up to 75% of the circumferential esophageal mucosa is damaged, which is relatively severe. Further progression can lead to ulcers or even severe damage to the entire esophageal mucosa. Therefore, Grade C reflux esophagitis is considered to be quite serious.

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Written by Luo Peng

Thoracic Surgery

41sec

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Reflux esophagitis is divided into several grades.

Reflux esophagitis can be classified into four grades based on the extent of esophageal mucosal damage: Grade A, B, C, and D. Grade A mainly involves damage to the folds of the esophageal mucosa, generally not exceeding 5 millimeters. Grade B refers to damage greater than 5 millimeters. Grade C indicates that the damage to the esophageal mucosa reaches 75% of the entire circumference of the esophagus; any damage below 75% falls into Grade C. Grade D, on the other hand, is quite severe, with extensive damage around the entire circumference of the esophagus, mainly divided into these four grades.

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Written by Wu Hai Wu

Gastroenterology

47sec

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Can gastroesophageal reflux esophagitis be detected by a CT scan?

Reflux esophagitis generally cannot be detected on a CT scan unless it is very severe, at which point it may be evident on a CT. Diagnosis of reflux esophagitis is primarily through gastroscope examination, where damage and erosion of the esophageal mucosa can be observed. Patients with severe reflux esophagitis may experience symptoms such as acid reflux, heartburn, and a burning sensation behind the sternum. Additional diagnostic methods include upper gastrointestinal barium meal imaging and tissue pathology biopsy. An electrocardiogram can also be performed to rule out the possibility of conditions such as angina.

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Written by Zhu Dan Hua

Gastroenterology

1min 26sec

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What medicine is taken for gastritis and reflux esophagitis?

Gastritis and gastroesophageal reflux disease are relatively common in clinical settings. Generally, medications that reduce acid production, protect the mucous membrane, and improve gastrointestinal motility can be chosen for treatment. Of course, dietary advice includes consuming clean, easily digestible foods, cultivating good living and eating habits, and avoiding overeating and binge drinking. Gastritis is more commonly seen clinically, with most patients exhibiting symptoms of abdominal pain and bloating. Esophagitis primarily presents with nausea, belching, and burning pain, leading most patients to seek treatment from a gastroenterologist. The fastest diagnosis primarily relies on gastroscopy, which can reveal congestion and edema of the esophageal and gastric mucosa, and even the formation of erosion and ulcers, ruling out diagnoses like esophageal or gastric cancer. Therefore, the treatment of gastritis and esophagitis mainly relies on medications, which are selected after a complete gastroscopy. The typical course of treatment is about four weeks. If symptoms can be controlled, the dosage can be gradually reduced to maintain the minimal effective amount. (The use of medications should be conducted under the guidance of a doctor.)

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Written by Wu Hai Wu

Gastroenterology

42sec

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What should I do if reflux esophagitis causes vomiting and choking?

Patients with reflux esophagitis who experience vomiting and choking is relatively rare. Once vomiting and choking occur, it is necessary for the patient to urgently lie on their side, quickly expel the contents of the stomach and mouth, and they may drink some water to keep the respiratory and digestive tracts clear. If the patient still experiences choking after these measures, it is recommended to urgently visit a hospital for treatment. The specific treatment plan will be determined by a doctor based on the situation. The main symptoms of reflux esophagitis include reflux and a burning sensation in the stomach, which are the most common and typical symptoms for patients.

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Written by Luo Peng

Thoracic Surgery

24sec

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Reflux esophagitis is caused by what?

There are many causes of reflux esophagitis. The main issue is due to the acidic digestive fluids from the stomach entering the esophagus. The primary cause of this is problems with the pressure of the lower esophageal sphincter, commonly referred to by doctors as the LES. Additionally, increased abdominal pressure or some gastrointestinal issues can also lead to reflux esophagitis.