Esophagitis x ray: Difference between revisions

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__NOTOC__
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{{Esophagitis}}
{{Esophagitis}}
{{CMG}}
{{CMG}} ; {{AE}} {{Ajay}}
 
==Overview==
==Upper GI Series X-Ray==
===Barium Swallow X-ray Findings===
(Images shown below are courtesy of RadsWiki)
 
<gallery>
Image:Esophagitis-002.jpg
Image:Esophagitis-003.jpg
</gallery>
<gallery>
Image:Esophagitis-004.jpg
Image:Esophagitis-005.jpg
</gallery>


Barium studies cannot diagnose esophagitis but are helpful in identifying any underlying anatomical abnormalities such as [[strictures]] or rings.
==Barium Swallow X-ray Findings==
===Eosinophilic esophagitis===
===Eosinophilic esophagitis===
*X-ray findings are as follows:<ref name="pmid15983073">{{cite journal |vauthors=Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, Katzka DA |title=Idiopathic eosinophilic esophagitis in adults: the ringed esophagus |journal=Radiology |volume=236 |issue=1 |pages=159–65 |year=2005 |pmid=15983073 |doi=10.1148/radiol.2361041100 |url=}}</ref><ref name="pmid20020118">{{cite journal |vauthors=Binkovitz LA, Lorenz EA, Di Lorenzo C, Kahwash S |title=Pediatric eosinophilic esophagitis: radiologic findings with pathologic correlation |journal=Pediatr Radiol |volume=40 |issue=5 |pages=714–9 |year=2010 |pmid=20020118 |doi=10.1007/s00247-009-1484-2 |url=}}</ref><ref name="pmid28989006">{{cite journal |vauthors=Nelson MJ, Miller FH, Moy N, Zalewski A, Gonsalves N, Gregory DL, Hirano I |title=Comparison of endoscopy and radiographic imaging for detection of esophageal inflammation and remodeling in adults with eosinophilic esophagitis |journal=Gastrointest. Endosc. |volume= |issue= |pages= |year=2017 |pmid=28989006 |doi=10.1016/j.gie.2017.09.037 |url=}}</ref>
*Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as [[strictures]], rings, etc.<ref name="pmid15983073">{{cite journal |vauthors=Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, Katzka DA |title=Idiopathic eosinophilic esophagitis in adults: the ringed esophagus |journal=Radiology |volume=236 |issue=1 |pages=159–65 |year=2005 |pmid=15983073 |doi=10.1148/radiol.2361041100 |url=}}</ref><ref name="pmid20020118">{{cite journal |vauthors=Binkovitz LA, Lorenz EA, Di Lorenzo C, Kahwash S |title=Pediatric eosinophilic esophagitis: radiologic findings with pathologic correlation |journal=Pediatr Radiol |volume=40 |issue=5 |pages=714–9 |year=2010 |pmid=20020118 |doi=10.1007/s00247-009-1484-2 |url=}}</ref><ref name="pmid28989006">{{cite journal |vauthors=Nelson MJ, Miller FH, Moy N, Zalewski A, Gonsalves N, Gregory DL, Hirano I |title=Comparison of endoscopy and radiographic imaging for detection of esophageal inflammation and remodeling in adults with eosinophilic esophagitis |journal=Gastrointest. Endosc. |volume= |issue= |pages= |year=2017 |pmid=28989006 |doi=10.1016/j.gie.2017.09.037 |url=}}</ref>  
*Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as [[strictures]], rings, etc.
*They also help to rule out the other causes of [[dysphagia]].
*They also help to rule out the other causes of [[dysphagia]].
*The [[barium swallow]] of the esophagus shows multiple rings associated with EoE.
*Findings in [[barium swallow]] imaging of eosionphilic esophagitis include multiple rings  


[[Image:Eosinophilic esophagiits ba swallow.jpg|thumb|center|150px|[[Barium swallow]] of the esophagus, showing multiple rings associated with eosinophilic esophagitis.]]
[[Image:Eosinophilic esophagiits ba swallow.jpg|thumb|center|150px|[[Barium swallow]] of the esophagus, showing multiple rings associated with eosinophilic esophagitis.]]
===Reflux esophagitis===
===Reflux esophagitis===
* [[Barium swallow]] radiograph is not recommended in diagnosis of reflux esophagitis.<ref name="KatzGerson2013">{{cite journal|last1=Katz|first1=Philip O|last2=Gerson|first2=Lauren B|last3=Vela|first3=Marcelo F|title=Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease|journal=The American Journal of Gastroenterology|volume=108|issue=3|year=2013|pages=308–328|issn=0002-9270|doi=10.1038/ajg.2012.444}}</ref>  
* [[Barium swallow]] radiograph is not recommended in diagnosis of reflux esophagitis.<ref name="KatzGerson2013">{{cite journal|last1=Katz|first1=Philip O|last2=Gerson|first2=Lauren B|last3=Vela|first3=Marcelo F|title=Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease|journal=The American Journal of Gastroenterology|volume=108|issue=3|year=2013|pages=308–328|issn=0002-9270|doi=10.1038/ajg.2012.444}}</ref>  
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** [[Strictures]]
** [[Strictures]]
[[Image:Gastro-oesophageal-reflux-disease.jpg|thumb|center|350px|Source: Case courtesy of Dr Hani Salam, From the case "https://radiopaedia.org/cases/9585">rID: 9585<]]
[[Image:Gastro-oesophageal-reflux-disease.jpg|thumb|center|350px|Source: Case courtesy of Dr Hani Salam, From the case "https://radiopaedia.org/cases/9585">rID: 9585<]]
(Images shown below are courtesy of RadsWiki)
<gallery>
Image:Esophagitis-002.jpg
Image:Esophagitis-003.jpg
</gallery>
<gallery>
Image:Esophagitis-004.jpg
Image:Esophagitis-005.jpg
</gallery>
*Irregular shaggy outline of the esopahgeal mucosal surface with multiple pseudodiverticulosis.


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


[[Category:Needs overview]]
[[Category:Needs overview]]
[[Category:Primary care]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Inflammations]]
[[Category:Inflammations]]
[[Category:Histopathology]]
[[Category:Histopathology]]
[[Category:Disease]]
[[Category:Disease]]
{{WH}}
{{WS}}

Latest revision as of 21:41, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Ajay Gade MD[2]]

Overview

Barium studies cannot diagnose esophagitis but are helpful in identifying any underlying anatomical abnormalities such as strictures or rings.

Barium Swallow X-ray Findings

Eosinophilic esophagitis

  • Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as strictures, rings, etc.[1][2][3]
  • They also help to rule out the other causes of dysphagia.
  • Findings in barium swallow imaging of eosionphilic esophagitis include multiple rings
Barium swallow of the esophagus, showing multiple rings associated with eosinophilic esophagitis.

Reflux esophagitis

Source: Case courtesy of Dr Hani Salam, From the case "https://radiopaedia.org/cases/9585">rID: 9585<

(Images shown below are courtesy of RadsWiki)

  • Irregular shaggy outline of the esopahgeal mucosal surface with multiple pseudodiverticulosis.

References

  1. Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, Katzka DA (2005). "Idiopathic eosinophilic esophagitis in adults: the ringed esophagus". Radiology. 236 (1): 159–65. doi:10.1148/radiol.2361041100. PMID 15983073.
  2. Binkovitz LA, Lorenz EA, Di Lorenzo C, Kahwash S (2010). "Pediatric eosinophilic esophagitis: radiologic findings with pathologic correlation". Pediatr Radiol. 40 (5): 714–9. doi:10.1007/s00247-009-1484-2. PMID 20020118.
  3. Nelson MJ, Miller FH, Moy N, Zalewski A, Gonsalves N, Gregory DL, Hirano I (2017). "Comparison of endoscopy and radiographic imaging for detection of esophageal inflammation and remodeling in adults with eosinophilic esophagitis". Gastrointest. Endosc. doi:10.1016/j.gie.2017.09.037. PMID 28989006.
  4. Katz, Philip O; Gerson, Lauren B; Vela, Marcelo F (2013). "Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease". The American Journal of Gastroenterology. 108 (3): 308–328. doi:10.1038/ajg.2012.444. ISSN 0002-9270.

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