Gastro-esophageal reflux grading

Last revised by Mohammad Salem Amer on 13 Mar 2024

Gastro-oesophagal reflux grading is based on the vertical height that contrast-media reaches during fluoroscopy 1:

  • grade I: reflux in the distal esophagus

  • grade II: reflux up to or just above the carina

  • grade III: reflux into cervical esophagus

  • grade IV: reflux in the cervical esophagus with cardia dilatation

  • grade V: reflux with tracheal / lung aspiration

  • grade D: reflux observed in delayed films

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.