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La grade D reflux esophagitis is considered the most severe form of esophagitis, characterized by significant inflammation and damage to the esophageal lining. It can lead to complications such as strictures, Barrett's esophagus, and an increased risk of esophageal cancer if left untreated. Managing this condition typically involves lifestyle changes, medications, and, in some cases, surgery to prevent further damage and alleviate symptoms. It's important to seek medical attention for proper diagnosis and treatment.

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