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LOS ANGELES CLASSIFICATION of Reflux Esophagitis

Developed by the International Working Group for the Classification of Reflux Oesophagitis (IWGCO)

LA Grade A

LA Grade B

1 cm

1 cm

One (or more) mucosal break no longer than 5mm, that does not extend between the tops of two mucosal folds

One (or more) mucosal break more than 5 mm long, that does not extend between the tops of two mucosal folds

LA Grade C

LA Grade D

1 cm

1 cm

One (or more) mucosal break that is continuous between the tops of two or more mucosal folds, but which involves less than 75% of the circumference
Lundell et al Gut 45:172-180 (1999)

One (or more) mucosal break which involves at least 75% of the esophageal circumference

Supported by an educational grant from AstraZeneca

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