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Volume 25, Issue 1, Pages 1-11 (March 2018)

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1 Volume 25, Issue 1, Pages 1-11 (March 2018)
Gastroesophageal reflux disease: A clinical overview for primary care physicians  Sudha Pandit, Moheb Boktor, Jonathan S. Alexander, Felix Becker, James Morris  Pathophysiology  Volume 25, Issue 1, Pages 1-11 (March 2018) DOI: /j.pathophys Copyright © 2017 Elsevier B.V. Terms and Conditions

2 Fig. 1 Los Angeles Classification of GERD. Grade A − one or more mucosal breaks each ≤5mm in length. Grade B − at least one mucosal break >5mm long, but not continuous between the tops of adjacent mucosal folds. Grade C − at least one mucosal break that is continuous between the tops of adjacent mucosal folds, but which is not circumferential. Grade D − mucosal break that involves at least three-fourths of the luminal circumference. Pathophysiology  , 1-11DOI: ( /j.pathophys ) Copyright © 2017 Elsevier B.V. Terms and Conditions

3 Fig. 2 Progressive histological changes seen in mild and erosive esophagitis A − Normal esophagus histology; B − Increased basilar layer thickness and papillary elongation of noncornified stratified squamous cells; C − Increased fibrosis in papillary stricture. Pathophysiology  , 1-11DOI: ( /j.pathophys ) Copyright © 2017 Elsevier B.V. Terms and Conditions

4 Fig. 3 Complications of Erosive Esophagitis. Endoscopic (A) and Histologic (B) findings in peptic stricture as a complication of prolonged erosive esophagitis from GERD. Pathophysiology  , 1-11DOI: ( /j.pathophys ) Copyright © 2017 Elsevier B.V. Terms and Conditions


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