Grading of Reflux Esophagitis on Barium Swallow Examination Akiyoshi Yamada 1 1Institute of Gastroenterology, Tokyo Women's Medical College Keyword: 逆流性食道炎 , 逆流性食道炎の重症度 , X線診断 pp.1009-1020
Published Date 1992/9/25
DOI https://doi.org/10.11477/mf.1403109971
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 We classified severity of reflux esophagitis on barium swallowing examination as follows.

 Grade 1: Hypertrophic mucosa of esophagus showing rough and fine granular pattern.

 Grade 2: Reddish and/or erosive mucosal lesion showing longitudinal linear ulcerative pattern along EG junction.

 Grade 3: Extensive active erosion showing an extensive irregular surface.

 Grade 4: Active ulcer with deep excavation.

 Grade 5: Stenotic lesion. An extensive erosive lesion resulted in a long wedge-shaped long stenosis. A large, annular ulcer caused a well-demarcated but severe stenotic lesion.

 The severity of stenosis does not indicate the extent of inflammation.

Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.


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