Esophageal stricture other imaging findings: Difference between revisions
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{{Esophageal stricture}} | {{Esophageal stricture}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{MA}} | ||
==Overview== | ==Overview== | ||
Barium [[Esophagogram|esophagography]] is helpful in the diagnosis of esophageal stricture. Findings on a barium [[esophagogram]] suggestive of [[benign]] esophageal stricture include concentric narrowing, smoothly tapering and eccentric narrowing, abrupt, asymmetric in [[malignant]] causes. | |||
==Other Imaging Findings== | ==Other Imaging Findings== | ||
[[Benign]] [[stricture]]<nowiki/>s can be distinguished from [[malignant]] [[stricture]]<nowiki/>s based on barium [[Esophagogram|esophagography]]:<ref name="pmid12853664">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref><ref name="pmid25019695">{{cite journal |vauthors=Mendelson AH, Small AJ, Agarwalla A, Scott FI, Kochman ML |title=Esophageal anastomotic strictures: outcomes of endoscopic dilation, risk of recurrence and refractory stenosis, and effect of foreign body removal |journal=Clin. Gastroenterol. Hepatol. |volume=13 |issue=2 |pages=263–271.e1 |year=2015 |pmid=25019695 |pmc=4289652 |doi=10.1016/j.cgh.2014.07.010 |url=}}</ref> | |||
* | * Benign: Concentric narrowing, smoothly tapering | ||
* | * Malignant: Eccentric narrowing, abrupt, asymmetric | ||
[[Barium esophagography|Barium]] [[Esophagogram|esophagography]] is helpful in the diagnosis esophageal stricture. Findings on a barium [[Esophagogram|esophagography]] suggestive of [[esophageal]] stricture include: | |||
**[ | {| class="wikitable" | ||
! | |||
!Barium swallowing finding | |||
|- | |||
|[[Gastroesophageal reflux disease|Gastroesophageal Reflux Disease]] | |||
| | |||
*Sacculations | |||
*Fixed transverse folds | |||
*[[Esophageal]] intramural [[Pseudodiverticulum|pseudodiverticula]] | |||
|- | |||
|[[Esophageal cancer|Esophageal carcinoma]] | |||
|Irregular contour and shelflike [[proximal]] and [[distal]] margins | |||
|- | |||
|[[Scleroderma]] | |||
|Tapered narrowing in long segment of the [[distal]] [[esophagus]] | |||
|- | |||
|[[Nasogastric intubation]] | |||
|Long segment of narrowing in the [[Anatomical terms of location|distal]] [[esophagus]] | |||
|- | |||
|[[Radiation]] stricture | |||
|Smooth, tapered segment of concentric narrowing | |||
|- | |||
|[[Drug]]-induced stricture | |||
|Asymmetric focal narrowing in the upper [[thoracic]] [[esophagus]] | |||
|- | |||
|[[Esophageal]] [[sclerotherapy]] | |||
|Long, irregular [[stricture]] in the [[distal]] [[esophagus]] | |||
|- | |||
|[[Caustic]] ingestion | |||
|Segmental or diffuse [[stricture]]<nowiki/>s | |||
|} | |||
==References== | ==References== | ||
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{{WS}} | {{WS}} | ||
[[Category: | |||
[[Category:Gastroenterology]] | |||
[[Category:Medicine]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 21:41, 29 July 2020
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Esophageal stricture Microchapters |
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Diagnosis |
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Treatment |
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Surgery |
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Case Studies |
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Esophageal stricture other imaging findings On the Web |
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American Roentgen Ray Society Images of Esophageal stricture other imaging findings |
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Risk calculators and risk factors for Esophageal stricture other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]
Overview
Barium esophagography is helpful in the diagnosis of esophageal stricture. Findings on a barium esophagogram suggestive of benign esophageal stricture include concentric narrowing, smoothly tapering and eccentric narrowing, abrupt, asymmetric in malignant causes.
Other Imaging Findings
Benign strictures can be distinguished from malignant strictures based on barium esophagography:[1][2]
- Benign: Concentric narrowing, smoothly tapering
- Malignant: Eccentric narrowing, abrupt, asymmetric
Barium esophagography is helpful in the diagnosis esophageal stricture. Findings on a barium esophagography suggestive of esophageal stricture include:
| Barium swallowing finding | |
|---|---|
| Gastroesophageal Reflux Disease |
|
| Esophageal carcinoma | Irregular contour and shelflike proximal and distal margins |
| Scleroderma | Tapered narrowing in long segment of the distal esophagus |
| Nasogastric intubation | Long segment of narrowing in the distal esophagus |
| Radiation stricture | Smooth, tapered segment of concentric narrowing |
| Drug-induced stricture | Asymmetric focal narrowing in the upper thoracic esophagus |
| Esophageal sclerotherapy | Long, irregular stricture in the distal esophagus |
| Caustic ingestion | Segmental or diffuse strictures |
References
- ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
- ↑ Mendelson AH, Small AJ, Agarwalla A, Scott FI, Kochman ML (2015). "Esophageal anastomotic strictures: outcomes of endoscopic dilation, risk of recurrence and refractory stenosis, and effect of foreign body removal". Clin. Gastroenterol. Hepatol. 13 (2): 263–271.e1. doi:10.1016/j.cgh.2014.07.010. PMC 4289652. PMID 25019695.