Minimal changes in reflux esophagitis: red ones and white ones - PubMed (original) (raw)

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Minimal changes in reflux esophagitis: red ones and white ones

Michio Hongo. J Gastroenterol. 2006 Feb.

Abstract

Minimal change esophagitis is commonly accepted as part of the spectrum of reflux esophagitis in Japan as well as in many reflux esophagitis classification systems. However, the Los Angeles system excludes minimal changes as a sign of reflux esophagitis because of low interobserver agreement. The high prevalence of minimal change esophagitis suggests that many endoscopists can recognize such findings in their patients' esophagi. However, we do not have a clear definition of minimal changes, which requires proven interobserver agreement, histological evidence, and response data to therapeutic intervention. Furthermore, erythematous changes (red ones) and acanthotic changes (white ones) are not distinguished in the definition of minimal change used in Japan. It is time to clarify such issues.

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References

    1. Nihon Rinsho. 2004 Aug;62(8):1459-64 - PubMed
    1. Gastrointest Endosc. 2005 Nov;62(5):698-703; quiz 752, 754 - PubMed
    1. Scand J Gastroenterol. 1993 Feb;28(2):119-25 - PubMed
    1. Dig Dis Sci. 1982 Apr;27(4):297-302 - PubMed
    1. Dig Dis Sci. 2000 Feb;45(2):217-24 - PubMed

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