Richter J E
Cleveland Clinic Foundation, Ohio.
Gastrointest Endosc Clin N Am. 1994 Oct;4(4):677-98.
Reflux esophagitis, usually the mild to moderate form, is found endoscopically in less than 50% of patients with classic symptoms of gastroesophageal reflux disease (GERD). These patients tend to have low lower esophageal sphincter pressures, poor esophageal clearance, and hiatal hernias. The endoscopic findings of distal esophageal erosions and ulcerations are a specific, but not very sensitive, marker of GERD. Treatment of reflux esophagitis usually requires H2 antagonists, omeprazole, or antireflux surgery.
反流性食管炎通常为轻至中度，在内镜检查中，患有典型胃食管反流病（GERD）症状的患者中，发现率不到50%。这些患者往往食管下括约肌压力低、食管清除能力差且有食管裂孔疝。食管远端糜烂和溃疡的内镜检查结果是GERD的一个特异性但不太敏感的标志。反流性食管炎的治疗通常需要使用H2拮抗剂、奥美拉唑或抗反流手术。
