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В отличие от эрозий, язва проникает глубже, затрагивая мышечный и даже подслизистый слои [4](https://www.mos-clinics.ru/diseases/yazva-pishchevoda/). \n\nЗаболевание требует своевременного выявления и комплексного лечения [1](https://doct.ru/diseases/yazva-pischevoda.html). При запущенном процессе возможно развитие предраковых изменений слизистой оболочки, таких как пищевод Барретта [1](https://doct.ru/diseases/yazva-pischevoda.html).\n\n\n\n## Причины\nНекоторые причины язвы пищевода: \n* **Гастроэзофагеальная рефлюксная болезнь (ГЭРБ)** — длительное и частое заброс кислого содержимого желудка в пищевод [4](https://www.mos-clinics.ru/diseases/yazva-pishchevoda/). \n* **Грыжа пищеводного отверстия диафрагмы** — создаёт условия для заброса кислоты [1](https://doct.ru/diseases/yazva-pischevoda.html). \n* **Частое употребление острой пищи, алкоголя, крепкого кофе** [1](https://doct.ru/diseases/yazva-pischevoda.html). \n* **Травматическое повреждение слизистых оболочек** при проглатывании инородных тел [1](https://doct.ru/diseases/yazva-pischevoda.html). \n* **Приём некоторых лекарств** (НПВС, антибиотики, бисфосфонаты) [1](https://doct.ru/diseases/yazva-pischevoda.html). \n* **Инфекционные факторы** [1](https://doct.ru/diseases/yazva-pischevoda.html). \n* **Химические ожоги**, вызванные агрессивными жидкостями [1](https://doct.ru/diseases/yazva-pischevoda.html). \n\nНередко язва пищевода формируется при сочетании нескольких провоцирующих причин [1](https://doct.ru/diseases/yazva-pischevoda.html).\n\n## Симптомы\nПроявления заболевания зависят от размеров и глубины дефектов, а также от продолжительности процесса [1](https://doct.ru/diseases/yazva-pischevoda.html). Некоторые симптомы: \n* чувство тяжести и жжения в области пищевода [1](https://doct.ru/diseases/yazva-pischevoda.html); \n* постоянная изжога [1](https://doct.ru/diseases/yazva-pischevoda.html); \n* нарушения глотания, ощущение кома или препятствия при прохождении пищи [1](https://doct.ru/diseases/yazva-pischevoda.html); \n* кислый привкус во рту [1](https://doct.ru/diseases/yazva-pischevoda.html); \n* приступы тошноты, иногда сопровождающиеся рвотой [1](https://doct.ru/diseases/yazva-pischevoda.html); \n* снижение массы тела из-за избегания еды [1](https://doct.ru/diseases/yazva-pischevoda.html); \n* хроническое кровотечение, приводящее к анемии и слабости [1](https://doct.ru/diseases/yazva-pischevoda.html). \n\nНекоторые пациенты с язвой пищевода могут не испытывать никаких выраженных симптомов, особенно на ранних стадиях заболевания [4](https://www.mos-clinics.ru/diseases/yazva-pishchevoda/).\n\n## Диагностика\nДля диагностики язвы пищевода могут назначить: \n* **Эндоскопический осмотр (эзофагоскопию)** — для визуальной оценки дефекта, измерения размеров и взятия материала на биопсию [1](https://doct.ru/diseases/yazva-pischevoda.html). \n* **Рентгенографию пищевода с контрастом** — позволяет определить сужение просвета и контуры язвы [1](https://doct.ru/diseases/yazva-pischevoda.html).\n\n## Лечение\nЛечение язвы пищевода комплексное: устраняют причину, защищают слизистую пищевода и ускоряют заживление [10](https://BestClinic.ru/diseases/yazva-pishchevoda/). Некоторые методы: \n* **Диета** — исключают всё, что раздражает слизистую: кислое (цитрусовые, томаты), острое, копчёное, жареное, кофе, алкоголь, газировки [10](https://BestClinic.ru/diseases/yazva-pishchevoda/). \n* **Медикаментозная терапия** — снижение кислотности (препараты, подавляющие выработку соляной кислоты), защита слизистой (средства, создающие барьерный слой), улучшение моторики (помогают пище быстрее покидать желудок) [10](https://BestClinic.ru/diseases/yazva-pishchevoda/). \n* **Хирургия** — операции требуются в 3–5% случаев, обычно при осложнениях или неэффективности терапии [10](https://BestClinic.ru/diseases/yazva-pishchevoda/). \n\nТактику лечения решает врач, тактика зависит от глубины язвы, наличия стеноза, кровотечения и сопутствующих болезней [10](https://BestClinic.ru/diseases/yazva-pishchevoda/).","linksData":[{"sourceId":1,"url":"https://doct.ru/diseases/yazva-pischevoda.html","shownUrl":"https://doct.ru/diseases/yazva-pischevoda.html","title":"Язва пищевода - причины, симптомы, диагностика и лечение","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":2,"url":"https://xn----7sbbnetodge4bn.xn--p1ai/diseases/yazva-pishchevoda/","shownUrl":"https://xn----7sbbnetodge4bn.xn--p1ai/diseases/yazva-pishchevoda/","title":"Язва пищевода: причины, симптомы, диагностика и лечение - Медикал Парк","shortUrl":"медикал-парк.рф","isTranslated":false,"description":"","greenUrl":"медикал-парк.рф"},{"sourceId":3,"url":"https://www.smclinic.ru/diseases/yazva-pischevoda/","shownUrl":"https://www.smclinic.ru/diseases/yazva-pischevoda/","title":"Язва пищевода – симптомы, причины, признаки и методы лечения у взрослых в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":4,"url":"https://www.mos-clinics.ru/diseases/yazva-pishchevoda/","shownUrl":"https://www.mos-clinics.ru/diseases/yazva-pishchevoda/","title":"Язва пищевода: симптомы, диагностика, профилактика и лечение","shortUrl":"mos-clinics.ru","isTranslated":false,"description":"","greenUrl":"mos-clinics.ru"},{"sourceId":5,"url":"https://alfazdrav.ru/zabolevania/pishchevoda/yazva-pishchevoda/","shownUrl":"https://alfazdrav.ru/zabolevania/pishchevoda/yazva-pishchevoda/","title":"Язва пищевода — причины, симптомы и лечение заболевания в клинике «Альфа-Центр Здоровья»","shortUrl":"alfazdrav.ru","isTranslated":false,"description":"","greenUrl":"alfazdrav.ru"},{"sourceId":6,"url":"https://mrtexpert.ru/articles/yazva-pischevoda-prichiny-poyavleniya-simptomy-diagnostika-i-lechenie","shownUrl":"https://mrtexpert.ru/articles/yazva-pischevoda-prichiny-poyavleniya-simptomy-diagnostika-i-lechenie","title":"Язва пищевода: что такое, причины появления, симптомы, диагностика, лечение и осложнения | МРТ Эксперт","shortUrl":"mrtexpert.ru","isTranslated":false,"description":"","greenUrl":"mrtexpert.ru"},{"sourceId":7,"url":"https://klinikabudzdorov.ru/diseases/yazva-pishchevoda/","shownUrl":"https://klinikabudzdorov.ru/diseases/yazva-pishchevoda/","title":"Язва пищевода – причины, симптомы, диагностика и лечение у взрослых | «Будь Здоров»","shortUrl":"klinikabudzdorov.ru","isTranslated":false,"description":"","greenUrl":"klinikabudzdorov.ru"},{"sourceId":8,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-ulcer","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-ulcer","title":"Язва пищевода - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":9,"url":"https://ProBolezny.ru/yazva-pishevoda/","shownUrl":"https://ProBolezny.ru/yazva-pishevoda/","title":"Язва пищевода: причины, симптомы и лечение в статье гастроэнтеролога Полевянова П. 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