The so-called caustic esophagitis is the result of accidental or deliberate ingestion of a liquid acid or caustic, causing severe lesions in the esophageal wall. The esophagus is then narrows sclerosis. Inflammation of the mucosa due to infection is mainly observed in patients with AIDS. Mycotic esophagitis also occur during prolonged treatment with corticosteroids or after antibiotic therapy.
Reflux esophagitis or peptic
This is the contents of the stomach acid that comes up irritating the esophageal mucosa. Normally, the sphincter between the esophagus and the stomach prevents the arrival gastric irritant. It therefore occurs when the sphincter dysfunction, which no longer sealing, for example when a hiatal hernia. The patient feels a burning sensation up the esophagus to the pharynx, which accentuate certain positions (bending forward, lying on his back). The disease evolves recurrent burning sensation, more intense, which can sometimes lead to bleeding and eventual cancer.
Treatment involves stopping smoking, a half-sitting position and sleeping medication. If drug therapy is not sufficient, we resort to surgery to recreate a functional antireflux mechanism.
No comments:
Post a Comment