Classification of Hetzel et al for Peptic Esophagitis (Hetzel-Dent Classification)

Hetzel et al report a classification for peptic esophagitis.

Patient selection: GERD

Appearance at Endoscopy	Grade
normal mucosa	0
erythema or friability of mucosa without macroscopic erosions	1
superficial ulceration or erosions involving less than 10% of mucosal surface area in the last 5 cm of esophageal squamous mucosa	2
superficial ulceration or erosions involving 10-49% of mucosal surface area in the last 5 cm of esophageal squamous mucosa	3
superficial ulceration or erosions >= 50% of mucosal surface area with or without confluence	4
deep ulceration anywhere in the esophagus	4

In the modified version in McDonagh et al Grade 5 was a stricture (narrowing that prevents easy passage of the endoscope).

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