Oesophageal ulcer

Posted , 4 users are following.

This discussion has been locked due to a period of inactivity. Start a new discussion

Hi, I have an oesophageal ulcer which they graded on the savary millers system as grade 4 at my first endoscopy. When I had my second endoscopy last week they've now staged it at grade D - "Grade D    One (or more) mucosal break which involves at least 75% of the esophageal circumference" Can anyone explain this please? Does it mean that 75% of the whole oesophagus is affected or 75% of the area at the ulcer? Thanks for your help, Heather

1 like, 6 replies

Report

6 Replies

  • Posted

    All I know is a grade d is a reference to the size of your hiatus hernia which is on the largest grade  in so doing a lot of reflux  I am not sure what the 75% thing means 

    what meds have you got to take ? 

    You need to ask doctor what it means 

    ie is it 75% through oesophagus wall or 75% round whole of the oesophagus . Have they tested for h/pylori ?

    im not a doctor but you need to get answers and a plan of action from your doctor

    regards 

    Trev

    Report
    • Posted

      Hi Trev, thanks for your reply. I don't have a hiatus hernia, I had a nissen fundoplication done in 2000 and that got rid of the hernia. The grade d is part of the Los Angeles classification of gastroesophageal reflux disease. I don't understand why the nurse is using 2 diff end classification systems. I've already asked 2 GPs about the illness and I was told not to have anything spivey to eat. I have another GP appointment next week and I'm hoping she is more clued up than the other two. My next hospital appointment isn't until July.  I'll come back on here and hopefully will be better informed.  Heather
      Report
  • Posted

    Hi Heather; yes I agree with Trev....I can't give you any answers either, but am very interested in what the Results do mean, too.  Ring your GP for an appointment, for the first available one, and let us all know.  As you know, we are all on your side...with you in this, and would like to be there for this  journey with you.....Bron
    Report
    • Posted

      Hi Bron, thanks for your reply.  It's a great comfort to know others are out there and that there is support also.  I'm hoping to get some answers next week and will put a post on here to let you know how I get on.  Heather
      Report
  • Posted

    Grading of Severity

    The severity of esophagitis is commonly classified into four grades according to the Los Angeles Classification:[5][6]

    Grade A One or more mucosal breaks < 5 mm in maximal length

    Grade B One or more mucosal breaks > 5mm, but without continuity across mucosal folds

    Grade C Mucosal breaks continuous between > 2 mucosal folds, but involving less than 75% of the esophageal circumference

    Grade D Mucosal breaks involving more than 75% of esophageal circumference

    Grade 1: single erosion above gastro-esophageal mucosal junction.

    Grade 2: multiple, non-circumferential erosions above gastro-esophageal mucosal junction.

    Grade 3: circumferential erosion above mucosal junction.

    Grade 4: chronic change with esophageal ulceration and associated stricture.

    Grade 5: Barrett's esophagus with histologically confirmed intestinal differentiation within columnar

    Heather Barretts Esophagus is precancerous if u are stage 4 u probably

    should get an EGD at least once a year

    Report

Join this discussion or start a new one?

New discussion

Report as inappropriate

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up