Ulcers of the esophagus is usually referred to as peptic.
Peptic ulcer - this ulcerative process in the upper digestive tract, in which the emergence and existence of the ulcer is due to the aggressive influence of gastric juice containing the enzyme pepsin and hydrochloric acid.
Ulcers of the esophagus arise against the existence of reflux esophagitis or Barrett's esophagus. Under these conditions thrown up into the esophagus and the stomach hydrochloric acid and pepsin damage the lining of the esophagus, which does not have the protection that is at the mucosa in the stomach. But the final cause of ulcers of the esophagus are not installed.
There are also symptomatic ulcers of the esophagus. It's ulcer arising from the impact of infections, certain drugs, trauma of the esophagus, with burns of the esophagus and in diseases of the central nervous system.
Ulcers of the esophagus may be acute or chronic. Ulcers of the esophagus can be single or process involves large areas of the esophagus is called diffuse. Patients complain of pain behind the breastbone. The pain usually occurs during a meal, sometimes after a meal. Pain may increase significantly in the prone position, or tilt. Often there is regurgitation (reflux of food from the esophagus into the throat and mouth).
With long-term ulcerative process in place of the existence of ulcers scars gradually formed, and begins stenosis (narrowing) of the esophagus. In this case, the patient appears regurgitation of undigested food in the stomach, the so-called reflux and vomiting. This is a sign of stenosis of the esophagus. If the content is partially digested, indicate the presence of insufficiency of the lower esophageal sphincter .
Usually within a peptic ulcer of the esophagus are the phase of exacerbation and remission, when the acute manifestations subside, but after a breach of the diet, use of acute irritant food, etc. the patient's condition again deteriorated.
The diagnosis of esophageal ulcers set by endoscopy. In this case necessarily carried out histological and cytological examination to exclude a malignant lesion of the esophagus. Complication of ulcers of the esophagus may be bleeding from an ulcer, ulcer perforation, stenosis, esophageal ulcer, and malignancy (malignancy).
Treatment of ulcers of the esophagus.
First of all, appointed by the diet. During the process of acute food should be used in liquid and refrigerated, then you can eat mashed food. We do not recommend the use of sharp, acidic, irritating foods and in remission. Appointed by:
binders and antacids (Gastal, Almagel, fosfolyugel, vikalin, etc.)
blennogenic agents (sucralfate, Venter).
Long-term proton pump blockers are used:
omeprazol
rabeprazol
lansoprazol
To improve the regeneration of the mucous membrane at the site of ulcerative lesions appointed promoters of regeneration allanton, Solcoseryl. Used physiotherapy. If, during the long-term treatment fails to improve the patient is assigned to surgical intervention. In the event of complications of esophageal ulcer - Treatment is usually surgical.
