7299-7203 Esophagitis

Definition

Inflammation of the muscular tube that serves as a passageway for liquids and foods from the pharynx to the stomach.

Etiology

Esophagitis is primarily caused by reflux disease (see Analogous Diagnostic Code: 7399-7346 Gastroesophageal reflux disease). Other causes include: chemical irritants, such as dust or ingestion of cleaning solutions; physical irritants, such as smoking, or ingestion of extremely hot or cold liquids; and alcohol consumption. Additional causes include: trauma; infection; cardiospasm (achalasia); certain medications; cancer; and persistent vomiting, such as in eating disorders.

Signs & Symptoms

Manifestations of the condition include: heartburn; atypical chest pain (see Analogous Diagnostic Code: 5399-5321 Atypical chest pain); dysphagia; weight loss; mucosal changes; and redness revealed with endoscopic examination; and bleeding ulcers.

Tests

Testing may include acid reflux testing, endoscopy with biopsy, and barium x-ray examination.

Treatment

Therapy may depend on the underlying cause and can include oral antacids, medications that decrease acid secretion, dietary changes, and elevating the head of the bed during sleep.

Residuals

Esophageal ulceration, adenocarcinoma, Barrett's esophagus, esophageal scarring, difficulty in swallowing, and motility problems may be outcomes of esophagitis.

Special Considerations

None.