Boerhaave syndrome other imaging findings: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Boerhaave syndrome}} | {{Boerhaave syndrome}} | ||
{{CMG}} {{AE}} {{DM}} {{SHH}} | {{CMG}} {{AE}} {{DM}}, {{Ajay}}, {{FT}}, {{SHH}} | ||
== Overview == | == Overview == | ||
Contrast | Contrast [[esophagram]] usually establishes the diagnosis of an [[Boerhaave syndrome|esophageal perforation]] the location and extent of [[perforation]]. The accuracy of the test depends on the size and location of the [[perforation]] and the technique used for the study. [[Gastrografin]] a water-soluble [[contrast]] is used for the esophagram [[procedure]]. If the [[Gastrografin]] esophagram is inconclusive, a barium esophagram should be performed. [[Gastrografin]] is preferred over the barium esophagram to prevent barium induced inflammatory response in [[mediastinum]] and [[pleural space]], whereas [[barium]] esophagram is very efficient in picking the small [[Perforation|perforations]]. | ||
== | == Contrast Esophagram == | ||
*Contrast [[esophagram]] usually establishes the diagnosis of an [[esophageal perforation]]:<ref name="pmid3753071">{{cite journal |vauthors=Bladergroen MR, Lowe JE, Postlethwait RW |title=Diagnosis and recommended management of esophageal perforation and rupture |journal=Ann. Thorac. Surg. |volume=42 |issue=3 |pages=235–9 |year=1986 |pmid=3753071 |doi= |url=}}</ref><ref name="pmid7089304">{{cite journal |vauthors=Dodds WJ, Stewart ET, Vlymen WJ |title=Appropriate contrast media for evaluation of esophageal disruption |journal=Radiology |volume=144 |issue=2 |pages=439–41 |year=1982 |pmid=7089304 |doi=10.1148/radiology.144.2.7089304 |url=}}</ref><ref name="pmid1126592">{{cite journal |vauthors=James AE, Montali RJ, Chaffee V, Strecker EP, Vessal K |title=Barium or gastrografin: which contrast media for diagnosis of esophageal tears? |journal=Gastroenterology |volume=68 |issue=5 Pt 1 |pages=1103–13 |year=1975 |pmid=1126592 |doi= |url=}}</ref><ref name="pmid1193339">{{cite journal |vauthors=Schwartz SS |title=Letter: Barium or gastrografin: which contrast media for diagnosis of esophageal tears? |journal=Gastroenterology |volume=69 |issue=6 |pages=1377 |year=1975 |pmid=1193339 |doi= |url=}}</ref><ref name="pmid1115308">{{cite journal |vauthors=Vessal K, Montali RJ, Larson SM, Chaffee V, James AE |title=Evaluation of barium and gastrografin as contrast media for the diagnosis of esophageal ruptures or perforations |journal=Am J Roentgenol Radium Ther Nucl Med |volume=123 |issue=2 |pages=307–19 |year=1975 |pmid=1115308 |doi= |url=}}</ref> | |||
*Contrast | **The location and | ||
** | **Extent of [[perforation]] | ||
** | *The accuracy of the test depends on: | ||
*The accuracy of the test depends on | **The size and location of the [[perforation]] | ||
** | **The technique used for the study | ||
** | *[[Gastrografin]] is a water-soluble contrast used for the esophagram procedure | ||
*[[Gastrografin]] is a water-soluble contrast | *If the [[Gastrografin]] esophagram is inconclusive, a [[barium]] esophagram should be performed | ||
*If the [[Gastrografin]] esophagram is inconclusive, a [[barium]] esophagram should be performed | *[[Gastrografin]] is preferred over the [[barium]] esophagram to prevent [[barium]] induced [[inflammatory]] response in [[mediastinum]] or [[Pleural space|pleural spaces]], whereas [[barium]] esophagram is very efficient in picking the small [[Perforation|perforations]] | ||
*[[Gastrografin]] is preferred over the [[barium]] esophagram to prevent [[barium]] induced [[inflammatory]] response in [[mediastinum]] or [[Pleural space|pleural spaces]], whereas [[barium]] esophagram is very efficient in picking the small [[Perforation|perforations]] | *[[Barium]] esophagram can detect: | ||
*[[Barium]] esophagram can detect | |||
**Sixty percent of [[cervical]] [[Perforation|perforations]] | **Sixty percent of [[cervical]] [[Perforation|perforations]] | ||
**Ninety percent of [[intrathoracic]] perforations. | **Ninety percent of [[intrathoracic]] perforations. | ||
Latest revision as of 20:12, 17 February 2021
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Boerhaave syndrome other imaging findings On the Web |
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American Roentgen Ray Society Images of Boerhaave syndrome other imaging findings |
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Risk calculators and risk factors for Boerhaave syndrome other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2], Ajay Gade MD[3]], Feham Tariq, MD [4], Shaghayegh Habibi, M.D.[5]
Overview
Contrast esophagram usually establishes the diagnosis of an esophageal perforation the location and extent of perforation. The accuracy of the test depends on the size and location of the perforation and the technique used for the study. Gastrografin a water-soluble contrast is used for the esophagram procedure. If the Gastrografin esophagram is inconclusive, a barium esophagram should be performed. Gastrografin is preferred over the barium esophagram to prevent barium induced inflammatory response in mediastinum and pleural space, whereas barium esophagram is very efficient in picking the small perforations.
Contrast Esophagram
- Contrast esophagram usually establishes the diagnosis of an esophageal perforation:[1][2][3][4][5]
- The location and
- Extent of perforation
- The accuracy of the test depends on:
- The size and location of the perforation
- The technique used for the study
- Gastrografin is a water-soluble contrast used for the esophagram procedure
- If the Gastrografin esophagram is inconclusive, a barium esophagram should be performed
- Gastrografin is preferred over the barium esophagram to prevent barium induced inflammatory response in mediastinum or pleural spaces, whereas barium esophagram is very efficient in picking the small perforations
- Barium esophagram can detect:
- Sixty percent of cervical perforations
- Ninety percent of intrathoracic perforations.
-
Gastrografin Esophagram: With the ingestion of Gastrografin, a right-sided oesophageal leak into the pleural space quickly occurs. The leak crosses over slightly into the left pleural space and extends a little into the retrocrural/retroperitoneal space as well.; Source- Radiopaedia
References
- ↑ Bladergroen MR, Lowe JE, Postlethwait RW (1986). "Diagnosis and recommended management of esophageal perforation and rupture". Ann. Thorac. Surg. 42 (3): 235–9. PMID 3753071.
- ↑ Dodds WJ, Stewart ET, Vlymen WJ (1982). "Appropriate contrast media for evaluation of esophageal disruption". Radiology. 144 (2): 439–41. doi:10.1148/radiology.144.2.7089304. PMID 7089304.
- ↑ James AE, Montali RJ, Chaffee V, Strecker EP, Vessal K (1975). "Barium or gastrografin: which contrast media for diagnosis of esophageal tears?". Gastroenterology. 68 (5 Pt 1): 1103–13. PMID 1126592.
- ↑ Schwartz SS (1975). "Letter: Barium or gastrografin: which contrast media for diagnosis of esophageal tears?". Gastroenterology. 69 (6): 1377. PMID 1193339.
- ↑ Vessal K, Montali RJ, Larson SM, Chaffee V, James AE (1975). "Evaluation of barium and gastrografin as contrast media for the diagnosis of esophageal ruptures or perforations". Am J Roentgenol Radium Ther Nucl Med. 123 (2): 307–19. PMID 1115308.