[Endoscopic classification of reflux esophagitis].
[Endoscopic classification of reflux esophagitis].
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反流性食管炎的内镜分型[J].
DOI：
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发表时间：
2000
期刊：
影响因子：
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通讯作者：
M. Hashimoto
中科院分区：
文献类型：
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作者：
Y. Hoshihara;M. Hashimoto
1994年洛杉矶提出了一种新的反流性食管炎内镜分类（LA分类）。粘膜破损被定义为“与相邻或正常外观粘膜有离散线分界的斯劳区域或红斑区域”。反流性食管炎根据其粘膜破裂的严重程度分为四级。我们可以在内窥镜检查中发现一个微小的变化，这不是粘膜破裂，而是组织学或染色反流性食管炎。我认为洛杉矶分类必须包括最小变化，我建议对LA分类进行修改，将最小变化列为M级，将食管无任何最小变化和粘膜破裂列为N级。
A new endoscopic classification of reflux esophagitis was proposed in Los Angeles in 1994(LA classification). A mucosal break was defined as 'an area of slough or an area of erythema with a discrete lined demarcation from the adjacent or normal looking mucosa'. Reflux esophagitis is divided into four grades according to the severity of its mucosal break. We can find a minimal change during endoscopy which is not a mucosal break but is histologically or chromographically reflux esophagitis. I think Los Angeles classification must include the minimal change and I propose a modification of LA classification which includes the minimal change as grade M and the esophagus without any minimal change and mucosal break as grade N.