Читать книгу Gastrointestinal Pathology - Группа авторов - Страница 59

Clinically, erosive esophagitis from GERD is typically in the lower third of the esophagus and contiguous with the gastroesophageal junction as opposed to other inflammatory or infectious etiologies that may occur more proximally. The presence of a normal distal esophagus with more proximal inflammation virtually excludes GERD‐associated inflammation. Typical symptoms are heartburn and regurgitation. Ph‐ metry (monitoring the acid reflux events by a wired or wireless sensor in the distal esophagus) can be used in challenging cases but is rarely necessary with obvious symptoms and when esophagitis is seen.