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Diagnosis of Postoperative Reflux Esophagitis: Chiefly Its Endoscopic Findings M. Endo 1 , H. Suzuki 1 , S. Suzuki 1 , M. Maki 1 1Institute of Gastroenterology, Tokyo Women's Medical College pp.1305-1311
Published Date 1972/10/25
DOI https://doi.org/10.11477/mf.1403109068
  • Abstract
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 From the standpoint of surgery, we have studied reflux esophagitis after the operation of esophageal reconstruction, evaluating its diagnostic criteria with emphasis laid on the endoscopic findings. Although there have been many reports of reflux esophagitis due to regurgitation of gastric juice, opinion is somewhat divided on this question.

 Of 426 cases, totalling to 1,171 examinations, that have been postoperatively studied by esophagoscopy, 150 cases (35%) were diagnosed as reflux esophagitis. Its incidence differed according to the methods of operation, ranging from about 10 per cent to as many as 48 per cent.

 Reflux esophagitis can be divided into three groups as determined by endoscopy. The first is seen as reddening of the mucosal surface, hardly different in height from the surrounding mucosa. The reddening is pale, and its area is ill-defined. The second group is characterized by erosion. It is sharply circumscribed against the neighboring area with difference in height. Not only ulcer formation but also constriction is included in this group. In the third group are seen clusters of small protrusions, some with rough surface and others looking like multiple leucoplakia. Biopsy shows that the first group can not always be diagnosed as esophagitis, but in the second group almost all cases can be confirmed as such.

 We have also attempted to establish biopsic criteria of esophagitis, correlating them with esophagoscopic findings. Correlation was found in about half of cases between biopsic and endoscopic findings regarding the grade of severity in esophagitis.


Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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