Esophageal lesions

Introduction There are many diseases caused by local lesions in the esophagus, and esophagitis is common. Esophagitis is inflammation caused by edema and congestion of the esophageal mucosa in the superficial or deep tissues of the esophagus due to abnormal stimulation. These stimuli include stomach acid, bile, vomiting, bile, spirits, peppers, too hot soup, too hot tea, and so on. Esophagitis, also known as reflux esophagitis, is a chemical inflammation caused by reflux of gastric acid to the esophagus. Swallowing hot food, sharp foreign bodies or bones with insufficient taste, and eating corrosive agents directly damage the esophageal mucosa and cause inflammation.

Cause

1. Swallowing hot food, sharp foreign bodies or bones with insufficient taste, ingesting corrosive agents and other direct damage to the esophageal mucosa to cause inflammation.

2, antibiotics used for too long, leading to the proliferation of esophageal mucosal fungi causing infection.

3, secondary to inflammation of the pharynx or stomach; esophageal fistula, dilation, paralysis, tumor can cause chronic esophagitis.

an examination

Related inspection

Esophagography esophageal barium meal perspective

Main symptoms: loss of appetite, difficulty in swallowing, food reflux, runny nose, vomiting.

1, energy is depressed, appetite is eliminated or even abolished. Mucus is attached around the nose and mouth. When chronic esophagitis occurs, the body weight gradually decreases.

2, difficulty swallowing, painful when swallowing, and a lot of drooling; or vomiting, vomit sometimes with blood. Refuse to eat after swallowing several times.

3, esophageal palpation sensitive, cervical anterior esophageal palpation pain; front abdomen touch, can cause food reflux.

Differential diagnosis

(A) esophageal achalasia: patients are more common in young women, long course of disease, mild and heavy symptoms. Esophageal barium meal examination showed a smooth funnel-shaped stenosis at the lower end of the esophagus, which can be expanded when using an antispasmodic agent.

(2) Benign stricture of the esophagus: It can be caused by scars caused by accidental swallowing of corrosive agents, esophageal burns, foreign body damage, chronic ulcers, etc. The course of the disease is longer, and the difficulty in swallowing develops to a certain extent and is no longer aggravated. After detailed medical history and X-ray barium meal examination can be identified.

(C) benign esophageal tumors: mainly rare leiomyomas, the course of disease is longer, and the difficulty of swallowing is mostly intermittent. X-ray barium meal examination can show that the esophagus has round, oval or lobulated filling defects, the edges are neat, and the surrounding mucosa is normal.

(4) Ryukyu: more common in young women, when there is a pharyngeal ball-like foreign body sensation, disappearing when eating, often induced by mental factors. The disease does not actually have an esophageal lesion, and it is not difficult to distinguish it from esophageal cancer.

(5) Iron-deficient pseudomembranous esophagitis: mostly female, in addition to difficulty in swallowing, there may be small cell hypochromic anemia, glossitis, gastric acid deficiency and anti-A performance.

(6) Lesions around the esophagus: such as mediastinal tumor, aortic aneurysm, goiter, and enlarged heart. In addition to the mediastinal tumor invading the esophagus, X-ray barium meal examination showed a smooth compression of the esophagus and normal mucosal lines.

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