LAUSR

Medication and nonmedication pills can cause esophageal injury. Mucosal damage may result from direct toxic injury or mechanical compression due to direct contact with mucosa or secondary to systemic effects.1-4 Large pills of crystalline materials and nonabsorbable drugs particularly taken by elderly and debilitated patients are more prone to cause esophageal injury.1,3 Because the clinical and endoscopic features are not always specific, can mimic other esophageal lesions, obstructing tablets or their residues are not always endoscopically found, and a history of drug ingestion is not always provided or sometimes denied, pathologists have an important role in recognition of this type of esophageal injury. However, pill-induced injury may have no specific histologic features, can mimic esophagitis or other esophageal injuries, and the residual pill fragments can be ignored by naive 911086 IJSXXX10.1177/1066896920911086International Journal of Surgical PathologyAbdullGaffar and Bamakramah research-article2020