Understanding the Meaning of Grade A Reflux Esophagitis

Reflux esophagitis is a form of gastroesophageal reflux disease (GERD). Based on the severity of mucosal damage observed during endoscopy, this condition can be classified into four grades: A, B, C, and D. Grade A is the mildest form and typically has the best prognosis.

In Grade A reflux esophagitis, the mucosal injury seen through endoscopy has a longitudinal diameter of less than 5 mm. This classification indicates minimal damage to the esophageal lining caused by acid reflux.

Most patients with Grade A reflux esophagitis experience significant improvement within 4 to 8 weeks through lifestyle modifications combined with medication such as acid suppressants and mucosal protectants. These treatments help reduce stomach acid production and protect the esophagus from further irritation.

Gastroesophageal reflux disease is considered a motility disorder, primarily caused by the weakening or improper relaxation of the lower esophageal sphincter. This malfunction allows stomach contents to flow back into the esophagus, leading to both tissue damage and uncomfortable symptoms.

It's also important to note that GERD can be further categorized into two types: one where endoscopic findings are normal (known as non-erosive reflux disease) and another where visible esophageal inflammation is present, referred to as reflux esophagitis.

Recognizing early signs and seeking timely treatment can significantly improve outcomes for individuals diagnosed with Grade A reflux esophagitis. Maintaining a healthy weight, avoiding trigger foods, and elevating the head while sleeping are among the effective lifestyle strategies recommended by healthcare professionals.