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食管炎

Esophagitis

作者信息

Antunes Catiele, Sharma Ashish

机构信息

Yale University

Yuma Regional Medical Center

PMID:28723041
Abstract

Esophagitis refers to inflammation or injury to the esophageal mucosa. There are many causes of esophagitis and essentially the presentation is similar which include retrosternal chest, heartburn, dysphagia or odynophagia. One of the most common causes is gastroesophageal reflux, which can lead to erosive esophagitis. Other etiologies include radiation, infections, local injury caused by medications, pill esophagitis, and eosinophilic esophagitis (EoE). The most common symptoms in patients with esophagitis are chest pain, odynophagia, and dysphagia. Patients with EoE may present with food impaction. If the esophagitis is severe and leads to strictures, fistulization, and perforation, patients may present with symptoms related to those entities.

摘要

食管炎是指食管黏膜的炎症或损伤。食管炎有多种病因,其临床表现基本相似,包括胸骨后胸痛、烧心、吞咽困难或吞咽疼痛。最常见的病因之一是胃食管反流,可导致糜烂性食管炎。其他病因包括放射、感染、药物引起的局部损伤、药物性食管炎和嗜酸性粒细胞性食管炎(EoE)。食管炎患者最常见的症状是胸痛、吞咽疼痛和吞咽困难。EoE患者可能出现食物嵌塞。如果食管炎严重并导致狭窄、瘘管形成和穿孔,患者可能会出现与这些情况相关的症状。