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• W2002034304 abstract "Abstract Background: Gastroesophageal reflux occurs mainly during the daytime in patients with Los Angeles grade A esophagitis, but predominantly during the night in patients with grade C and D esophagitis. The purpose of the present paper was to investigate whether this difference in the pattern of gastroesophageal reflux influences the circumferential localization of erosions in the esophageal wall. Methods: The subjects were 394 consecutive patients diagnosed endoscopically as having reflux esophagitis (grade A, n = 223; B, n = 93; C, n = 53; D, n = 25 cases). Their endoscopic films were reviewed retrospectively to determine the circumferential location of esophageal mucosal breaks, and also the prevalence and size of hiatal hernia (HH). Results: The numbers of mucosal breaks analyzed in patients with grade A, B and C esophagitis were 321, 173 and 54, respectively. Patients with grade A and B esophagitis had longitudinal mucosal breaks mainly in the right‐anterior wall of the lower esophagus, whereas patients with grade C esophagitis had transverse mucosal breaks mainly in the posterior wall. The prevalence and size of HH was significantly higher and larger, respectively, in patients with grade C or D esophagitis than in those with grade A and B esophagitis. Conclusion: The circumferential location of esophageal mucosal breaks differs significantly among different grades of esophagitis." @default.
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• W2002034304 date "2006-09-18" @default.
• W2002034304 modified "2023-10-16" @default.
• W2002034304 title "Difference in localization of esophageal mucosal breaks among grades of esophagitis" @default.
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• W2002034304 doi "https://doi.org/10.1111/j.1440-1746.2006.04297.x" @default.
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