esophageal mucosal injury
Introduction
Introduction to esophageal mucosal injury Esophageal mucosal injury is one of the common esophageal traumas, most of which are negligent due to not serious injuries. Clinically, it can heal itself and less infection. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: abscess
Cause
Causes of esophageal mucosal injury
Esophageal mucosal damage is caused by eating rough food, dry hard food or swallowing sharp foreign body to abide the esophageal mucosa, but also can damage the esophageal mucosa due to alcohol or food overheating, esophagoscopy and gastroscopy, esophageal dilation, or even placement of a stomach tube. Esophageal mucosal damage.
Prevention
Esophageal mucosal injury prevention
1. Develop good eating habits: Do not make trouble when eating, avoid dry or hard food or sharp foreign body when you swallow the esophageal mucosa.
2. Avoid iatrogenic esophageal mucosal damage during esophagoscopy or gastroscopy. Especially the elderly and young children.
3. Usually eat easily digestible foods, such as porridge, clear soup and so on.
4. Develop good habits. Moxibustion Zusanli and Liangmen points. In addition, a large number of clinical and experimental studies have shown that acupuncture may pass through the hypothalamus and certain gastrointestinal hormones and neuropeptides. Timely supplement with various nutrients.
Complication
Esophageal mucosal injury complications Complications
Esophageal mucosal injury combined with infection can form submucosal abscess.
Symptom
Esophageal mucosal injury symptoms Common symptoms Esophageal obstruction Thoracic pain Pain pain Scapular radioactive pain Esophageal mucosa is ductal exfoliation Swallowing sore abscess eating difficulties
When the mucosal injury is mild, the symptoms are mild, and there are no obvious symptoms. The slight injury often manifests as pain in the back of the chest when swallowing food, burning sensation, eating irritating food, hot food and dry hard food, the pain can be left to the left. Radiation under the side scapula, if there is no serious infection, the above symptoms will disappear after 3 to 5 days, but a small number of patients with infection, submucosal abscess, there is high fever, severe pain after the sternum, and even can not eat, need to wait for the abscess After the discharge of pus, the symptoms begin to reduce or disappear, mucosal damage and infection, can form submucosal abscess.
Mucosal injury can also be manifested as submucosal hematoma. The hematoma causes the surface layer and the lamina propria of the esophageal mucosa to be completely stripped. It is tube-shaped and ejected from the oral cavity. It resembles a band hanging from the mouth and connected to the pharynx. "Esophageal mucosal exfoliation", also known as "surface exfoliative esophagitis", "traumatic exfoliative esophagitis", the mechanism may be caused by esophageal mucosal injury, blood vessel rupture between the mucosa and the lamina propria, occurs Hematoma, due to the continuous increase and expansion of blood, and the esophageal mucosa is tubular exfoliation. At this time, due to gravity, the blood falls and the lower end of the esophagus is more resistant. If a little stimulation, such as vomiting, the mucous membrane may be broken. The patient developed vomiting, and the mucosal tube type that was exfoliated immediately reversed, and was exfoliated by the oral cavity. The exfoliated tube consisted of squamous epithelium without inflammation and necrosis. Such patients were more likely to have chest tightness and obstruction soon after eating. Or pain, vomiting later, spit out a lot of bright red blood, while a white tubular membrane spit out, connected to the bottom of the mouth, varying lengths, pulling a pain, Uppals, etc. 1 case of esophageal obstruction caused by meat mass, causing esophageal mucosal laceration caused by forced vomiting, and an esophageal mucosal strip appeared in the oral cavity. The patient had no other complications and recovered smoothly after conservative treatment. Many people will also This type of esophageal mucosal injury is attributed to the Mallory-Weiss sign.
Examine
Examination of esophageal mucosal injury
1. Esophageal X-ray swallowing examination: It is not helpful for the diagnosis of general mucosal injury, but it can exclude foreign body or other esophageal diseases. For the esophageal mucosal exfoliation, the double-chamber esophagus can be seen.
2. Esophagoscopy: For those who have foreign bodies, esophagoscopy can be performed to confirm the diagnosis and remove foreign objects at the same time.
Diagnosis
Diagnosis and diagnosis of esophageal mucosal injury
Diagnosis is easy to make esophageal mucosal injury diagnosis based on medical history and clinical symptoms. For esophageal mucosal exfoliation, white tubular membranes are connected to the pharynx in oral examination, and "double-chamber esophagus" can be diagnosed by X-ray swallowing examination. .
