Acute Esophagitis

Sources: A Manual Of Peroral Endoscopy And Laryngeal Surgery

This is usually of traumatic or cauterant origin. If severe or

extensive, all the symptoms described under Rupture of the Esophagus

may be present. The endoscopic appearances are unmistakable to anyone

familiar with the appearance of mucosal inflammations. The pale,

bluish pink color of the normal mucosa is replaced by a deep-red

velvety swollen appearance in which individual vessels are invisible.

After exudation of serum into the tissues, the color may be paler and

in some instances a typical edema may be seen. This may diminish the

lumen temporarily. Folds of swollen mucosa crowd into the lumen if the

inflammation is intense. These folds are sometimes demonstrable in the

roentgenogram by the bismuth or barium in the creases between which

the prominence of the folds show as islands as beautifully

demonstrated by David R. Bowen in one of the author's cases. If the

inflammation is due to corrosives, a grayish exudate may be visible

early, sloughs later.