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回流性食管炎是由于食管下部括约肌(简称LES)不能阻止胃十二指肠分泌物的反流,因而引起食管粘膜的损伤。近几年对本病已可作出较准确的诊断和较合理的治疗。本文主要复习目前对于回流性食管炎病理生理学、临床诊断和处理的认识。症状胃灼热——是回流性食管炎最常见的症状,通常被描述为胸骨下烧灼痛或不适,具有从剑突区到胸骨上切迹移动的性质。常伴反酸或苦味液体,偶而有食物反流,用抗酸剂后迅速缓解。胃灼热和反胃通常均发生于餐后、体位改变或当患者躺卧或应激时。夜间严重的回流症状引起胃灼热可使患者醒来,反胃表现为轻易的呕吐。大多数(84％)患者在回流性食管炎确诊前已有一年多的回流症状。有慢性回流症状的患者,在胸的中段亦有
Reflux esophagitis is due to esophageal lower sphincter (LES) can not prevent the reflux of gastroduodenal secretions, resulting in esophageal mucosal injury. In recent years the disease has been able to make a more accurate diagnosis and more reasonable treatment. This review of the current review of the current pathophysiology of reflux esophagitis, clinical diagnosis and treatment of awareness. Symptoms Heartburn - the most common symptom of reflux esophagitis and is commonly described as a subthoracic burning pain or discomfort with the property of moving from the kyphoschis to the suprasternal notch. Often accompanied by acid or bitter liquid, occasionally food reflux, with antacids quickly ease. Heartburn and nausea usually occur after a meal, with changes in body position or when the patient is lying or stressed. Severe reflux night symptoms caused by heartburn can wake up patients, nausea showed easy vomiting. Most (84%) patients had reflux symptoms for more than a year before reflux esophagitis was diagnosed. Patients with chronic reflux symptoms, also in the middle of the chest