Reflux esophagitis in war-related sulfur mustard lung disease

Med J Islam Repub Iran. 2014 May 7:28:30. eCollection 2014.

Abstract

Background Sulfur mustard (SM) has acute and chronic effects on skin and mucosal surfaces. The aim of the study was to evaluate the frequency of esophagitis in a historical cohort of veterans who had been exposed to SM in Iran-Iraq war nearly 25 years ago.

Methods: One hundred two veterans with dyspepsia and/or heartburn underwent esophago-gastroduodenoscopy. Of them, 52 cases had been exposed to SM and had chronic mustard lung disease. Controls included 50 veterans without SM exposure. Esophagitis was defined according to standard criteria.

Results: 81.6% of cases and 70.6% of controls had heart burn and/or regurgitation (p= 0.224). Esophagitis was seen in 40% of cases and 26.5% of controls (p= 0.155).

Conclusion: Based on our findings, SM exposure seems not to be associated with increased esophagitis.

Keywords: Esophagitis; Gastroesophageal reflux; Sulfur mustard.