Korean J Gastroenterol.  2014 Feb;63(2):134-136. 10.4166/kjg.2014.63.2.134.

Clinical Improvement of Los Angeles Grade D Esophagitis with Proton Pump Inhibitor

Affiliations
  • 1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. adagio@catholic.ac.kr

Abstract

No abstract available.


MeSH Terms

Endoscopy, Digestive System
Esophagitis, Peptic/diagnosis/*drug therapy
Humans
Male
Middle Aged
Proton Pump Inhibitors/*therapeutic use
Severity of Illness Index
Sucralfate/therapeutic use
Proton Pump Inhibitors
Sucralfate

Figure

  • Fig. 1. Esophagogastroduodenoscopy shows diffuse and coalesced circular ulcer expanding from gastroesophageal junction to mid-esophagus (22 cm from incisor). Spotty red pigmentations with thick whitish exudates are present at the ulcer base.

  • Fig. 2. Follow-up esophagogastroduodenoscopy performed after one month. Previously noted circumferential ulcer that extended from mid to lower eso-phagus has almost completely healed, and the ulcer base is now covered with friable and thin regenerative epithe-lium. Focal erosion near Z-line can be seen.

  • Fig. 3. Follow-up esophagogastroduodenoscopy performed seven months later. Blurred Z-line with focal mucosal breaks less than 5 mm is observed. Short segment of lower esophageal stricture due to healing scar of pre-vious reflux esophagitis can also be noted.


Reference

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