Table 2

The Los Angeles Classification System for the endoscopic assessment of oesophagitis

GradeDefinition
AOne or more mucosal breaks no longer than 5 mm, none of which extends between the tops of the mucosal folds
BOne or more mucosal breaks more than 5 mm long, none of which extends between the tops of two mucosal folds
CMucosal breaks that extend between the tops of two or more mucosal folds, but which involve less than 75% of the oesophageal circumference
DMucosal breaks which involve at least 75% of the oesophageal circumference
  • This is the agreed final version of the classification.8 Note that the definition of grades C and D differs slightly from the published proposed Los Angeles classification.7