Esophagitis

  • Medical Author:
    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

  • Medical Editor: Bhupinder Anand, MD

Quick GuideDigestive Disorders: Common Misconceptions

Digestive Disorders: Common Misconceptions

Can esophagitis be prevented?

Some types of esophagitis can be prevented.

  • Esophagitis caused by GERD may be prevented by changes in lifestyle and diet.
  • Proper oral hygiene can aid in prevention of esophagitis caused by the Candida yeast.
  • Take all pills with plenty of water, and in an upright position.

What is the prognosis for a person with esophagitis?

  • The prognosis for esophagitis often depends on the underlying cause.
  • Esophagitis caused by infection or inflammation is generally treatable with medications, diet or behavioral changes and in some cases, surgery. Most people can recover fully, while some have chronic inflammation that is managed with long-term medical treatment.
  • Esophagitis caused by reflux, while often manageable, can recur frequently. Many patients who have reflux require medication or other treatment to prevent relapses.
  • A significant percentage of people with GERD go on to develop Barrett's esophagus. Very few of patients with Barrett's esophagus develop cancer. A gastroenterologist should monitor patients who have Barrett's esophagus.
  • The outlook for patients with eosinophilic esophagitis is favorable. It is a chronic, relapsing condition, but not usually one that is life-threatening. Treatments are evolving using different immune modulators to decrease the allergy-like reactions.
  • Achalasia is a progressive, but treatable disorder. Patients must be closely monitored by a gastroenterologist. A small number of individuals with achalasia may develop squamous cell cancer (carcinoma) as a result.

REFERENCES:

American Academy of Allergy, Asthma & Immunology. "Eosinophilic Esophagitis (EoE)."
<http://www.aaaai.org/conditions-and-treatments/related-conditions/eosinophilic-esophagitis;>

Cancer.org. Esophagus Cancer.
<http://www.cancer.org/cancer/esophaguscancer/detailedguide/index>

Devuni, D, MBBS. "Esophagitis." Medscape. Updated: Nov 12, 2015.
<http://emedicine.medscape.com/article/174223-overview>

McDonagh, MS, et al. "Appendix E. Esophagitis grading scales used in randomized controlled trials." Oregon Health & Science University; 2009 May.
<http://www.ncbi.nlm.nih.gov/books/NBK47264/;>

National Institute of Arthritis and Musculoskelatal Skin Diseases. "What Is Behçet's Disease?" Updated: November 2014.
<http://www.niams.nih.gov/health_info/behcets_disease/behcets_disease_ff.asp>

NDDIC. Barrett's Esophagus.
<https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/barretts-esophagus/Pages/overview.asp<

O Castell, D.O., MD. "Medication-induced esophagitis." Medscape. Updated: Aug 2016.
<https://www.uptodate.com/contents/medication-induced-esophagitis;>

Sami, SS, et al. "The Los Angeles Classification of Gastroesophageal Reflux Disease." June 2013. Video Journal and Encyclopedia of GI Endoscopy. June 2013 Volume 1, Issue 1, Pages 103–104
<http://www.sciencedirect.com/science/article/pii/S2212097113700463>

Medically Reviewed by a Doctor on 9/16/2016

Subscribe to MedicineNet's Newsletters

Get the latest health and medical information delivered direct to your inbox!

By clicking Submit, I agree to the MedicineNet's Terms & Conditions & Privacy Policy and understand that I may opt out of MedicineNet's subscriptions at any time.

Health Solutions From Our Sponsors