- Author:
Han Seung RYU
1
;
Suck Chei CHOI
Author Information
- Publication Type:Research Support, Non-U.S. Gov't ; Review
- Keywords: Gastroesophageal reflux; Esophagitis; Diagnosis
- MeSH: Esophagitis/pathology; Esophagoscopy; Gastroesophageal Reflux/classification/*diagnosis; Humans; Mucous Membrane/pathology
- From:The Korean Journal of Gastroenterology 2016;67(1):4-7
- CountryRepublic of Korea
- Language:Korean
- Abstract: Gastroesophageal reflux disease (GERD) is defined as a condition which develops when the reflux of gastric contents causes troublesome symptoms and long-term complications. GERD can be divided into erosive reflux disease and non-erosive reflux disease based on endoscopic findings defined by the presence of mucosal break. The Los Angeles classification excludes minimal changes as an evidence of reflux esophagitis because of poor interobserver agreement. In the Asian literature, minimal changes are considered as one of the endoscopic findings of reflux esophagitis, but the clinical significance is still controversial. Minimal change esophagitis is recognized quite frequently among patients with GERD and many endoscopists recognize such findings in their clinical practice. This review is intended to clarify the definition of minimal change esophagitis and their histology, interobserver agreement, and symptom association with GERD.