LA grade B reflux esophagitis is a disease that leads to the inflammation of the oesophagus and it can be either chronic or acute. LA simply stands for Los Angeles and is a classification system used to diagnose the extent of esophagitis. It is graded on a scale of A to D and differs in size.
Grade A mucosal break is 5mm in length and does not exceed that while grade B mucosal break is 5mm and above in length. For grade C mucosal break, it is continuous between more than two mucosal folds while grade D mucosal break covers over 75% of the oesophageal circumference. The disease can be caused by different infections, which include candida, viral, herpes simplex and cytomegalovirus.
These conditions are usually very difficult to distinguish between them and endoscopy is used for distinction purposes. Other main causes of the disease include gastroesophageal reflux disease and chemical injury by solutions that are either alkaline or acidic even though this is common among small children and adults trying to commit suicide by drinking caustic substances. There are also physical injuries that are caused by radiation therapy, which can also result to this disease as well as hyper-acidity, too much use of alcohol and allergies to some types of foods.
Its treatment is a bit complicated but more effective. In the first method, oral administration of drugs will help control the situation by inhibiting the gastric motility drugs bile reflux into the stomach and the common ones used are domperidone. There are other drugs used as oral mucosal protective agents and will micin complexation with the formation of a protective film to shield the gastric mucosa from bile injury. There is also dieting as a means of putting this disease under control, which will include regulation of greasy food intake to reduce bile secretion.
Grade A mucosal break is 5mm in length and does not exceed that while grade B mucosal break is 5mm and above in length. For grade C mucosal break, it is continuous between more than two mucosal folds while grade D mucosal break covers over 75% of the oesophageal circumference. The disease can be caused by different infections, which include candida, viral, herpes simplex and cytomegalovirus.
These conditions are usually very difficult to distinguish between them and endoscopy is used for distinction purposes. Other main causes of the disease include gastroesophageal reflux disease and chemical injury by solutions that are either alkaline or acidic even though this is common among small children and adults trying to commit suicide by drinking caustic substances. There are also physical injuries that are caused by radiation therapy, which can also result to this disease as well as hyper-acidity, too much use of alcohol and allergies to some types of foods.
Its treatment is a bit complicated but more effective. In the first method, oral administration of drugs will help control the situation by inhibiting the gastric motility drugs bile reflux into the stomach and the common ones used are domperidone. There are other drugs used as oral mucosal protective agents and will micin complexation with the formation of a protective film to shield the gastric mucosa from bile injury. There is also dieting as a means of putting this disease under control, which will include regulation of greasy food intake to reduce bile secretion.
