º»¹®/³»¿ë
B. clinical feature
1. heart burn - Á¦»êÁ¦³ª ¿ìÀ¯, ¹°µîÀ» º¹¿ëÇϸé Áõ»óÀÌ ¿ÏȵȴÙ.
2. angina-like or atypical chest pain
3. dysphagia, regurgitation
4. laryngitis, morning hoarseness
C. diagnosis
1. the presence of reflux
: ambulatory long-term esophageal pH monitoring (golden standard)
: barium exam, scintigraphy
: standard acid reflux test
2. the presence and complications of reflux esophagitis
: barium study, esophagoscopy, mucosal biopsy
: Benstein test
3. causative and predisposing factors
: motility test - competence of LES and esophageal motor function
: esophageal clearance test
D. clssification of esophagitis
grade 0 normal mucosa
grade 1 GE junction »óºÎ¿¡ ÇÑ °³ ÀÌ»óÀÇ , À¶ÇÕÇÏÁö ¾ÊÀº erythema or exudate
grade 2 ¹Ì¶õ¼º, »ïÃ⼺º´º¯ÀÌ ¼·Î À¶ÇÕÇϳª ½Äµµ Àü ȾÃàÀ» ħ¹üÇÏÁö´Â ¾Ê´Â´Ù.
grade 3 ¹Ì¶õ¼º, »ïÃ⼺º´º¯ÀÌ ½Ä¡¦(»ý·«)