Barrett's esophagus other imaging findings: Difference between revisions
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{{Barrett's esophagus}} | {{Barrett's esophagus}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{HQ}} | ||
==Overview== | ==Overview== | ||
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==Other Imaging Findings== | ==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 | |||
* | *We use an atomizer to instill 7 mL of aerosolized 4% lidocaine and 0.05% oxymetazoline hydrochloride into the patent nares over five minutes. | ||
* | *Next, we administer a 3-second instillation of aerosolized 14% benzocaine into the oropharynx. | ||
* | *We then have the patient put their chin to their chest and pass a 4.9 mm diameter flexible endoscope with a 2 mm working channel transnasally through the nasal turbinates and into the oropharynx, hypopharynx, esophagus, and stomach. | ||
* | *We have found that the 5 mm caliber scope that we use remains tolerable and allows for biopsies to be taken at the time of unsedated exam, obviating the need for sedated EGD if non-dysplastic BE is discovered. | ||
==References== | ==References== | ||
Revision as of 21:21, 4 February 2018
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Barrett's Esophagus Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Barrett's esophagus other imaging findings On the Web |
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American Roentgen Ray Society Images of Barrett's esophagus other imaging findings |
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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]
Overview
There are no other imaging findings associated with [disease name].
OR
[Imaging modality] may be helpful in the diagnosis of [disease name]. Findings on an [imaging modality] suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
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
- We use an atomizer to instill 7 mL of aerosolized 4% lidocaine and 0.05% oxymetazoline hydrochloride into the patent nares over five minutes.
- Next, we administer a 3-second instillation of aerosolized 14% benzocaine into the oropharynx.
- We then have the patient put their chin to their chest and pass a 4.9 mm diameter flexible endoscope with a 2 mm working channel transnasally through the nasal turbinates and into the oropharynx, hypopharynx, esophagus, and stomach.
- We have found that the 5 mm caliber scope that we use remains tolerable and allows for biopsies to be taken at the time of unsedated exam, obviating the need for sedated EGD if non-dysplastic BE is discovered.