Barrett's esophagus other imaging findings
Jump to navigation
Jump to search
|
Barrett's Esophagus Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Barrett's esophagus other imaging findings On the Web |
|
American Roentgen Ray Society Images of Barrett's esophagus other imaging findings |
|
Risk calculators and risk factors for Barrett's esophagus other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2] Amresh Kumar MD [3]
Overview
Unsedated esophagoscopy and capsule esophagoscopy may be helpful in the diagnosis of Barrett's esophagus.
Other Imaging Findings
Unsedated Esophagoscopy
- Using local anesthesia with aerosolized 4% lidocaine and oxymetazoline hydrochlorine a small-caliber upper endoscope passed transorally or transnasally into the esophagus with topical anesthesia.[1][2]
- Aaerosolized 14% benzocaine is instilled into the oropharynx for 3 seconds.
- 4.9 mm diameter flexible endoscope with a 2 mm working channel is passed transnasally through the nasal turbinate into the oropharynx, hypopharynx, esophagus, and stomach.
Capsule Esophagoscopy
- The esophageal capsule is swallowed and allows for capture of 14 images per second by using two optical domes.[3][4]
- Patient takes sips of water every 30 seconds during the 3 minutes with the patient lying in the right lateral supine position which provides better visualization of the z-line.
References
- ↑ Wilkins, T. (2005). "Office-Based Unsedated Ultrathin Esophagoscopy in a Primary Care Setting". The Annals of Family Medicine. 3 (2): 126–130. doi:10.1370/afm.262. ISSN 1544-1709.
- ↑ Jobe, Blair A.; Hunter, John G.; Chang, Eugene Y.; Kim, Charles Y.; Eisen, Glenn M.; Robinson, Jedediah D.; Diggs, Brian S.; O'Rourke, Robert W.; Rader, Anne E.; Schipper, Paul; Sauer, David A.; Peters, Jeffrey H.; Lieberman, David A.; Morris, Cynthia D. (2006). "Office-Based Unsedated Small-Caliber Endoscopy Is Equivalent to Conventional Sedated Endoscopy in Screening and Surveillance for Barrett's Esophagus: A Randomized and Blinded Comparison". The American Journal of Gastroenterology. 101 (12): 2693–2703. doi:10.1111/j.1572-0241.2006.00890.x. ISSN 0002-9270.
- ↑ Delvaux, Michel; Gay, Gérard (2008). "Capsule endoscopy: Technique and indications". Best Practice & Research Clinical Gastroenterology. 22 (5): 813–837. doi:10.1016/j.bpg.2008.06.003. ISSN 1521-6918.
- ↑ De Jonge, Pieter J. F.; Van Eijck, Brechje C.; Geldof, Han; Bekkering, Frank C.; Essink-Bot, Marie-Louise; Polinder, Suzanne; Kuipers, Ernst J.; Siersema, Peter D. (2009). "Capsule endoscopy for the detection of oesophageal mucosal disorders: a comparison of two different ingestion protocols". Scandinavian Journal of Gastroenterology. 43 (7): 870–877. doi:10.1080/00365520801908878. ISSN 0036-5521.