Esophageal stricture other imaging findings: Difference between revisions
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* Malignant: eccentric narrowing, abrupt, asymmetric , | * Malignant: eccentric narrowing, abrupt, asymmetric , | ||
due to different causes<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> | |||
[[Barium esophagography|Barium]] esophagography is helpful in the diagnosis esophageal stricture. Findings on a barium esophagography suggestive of esophageal stricture include: | |||
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*Endoscopic ultrasound for detection local invasion in malignant causes | *Endoscopic ultrasound for detection local invasion in malignant causes | ||
*Esophagogastroduodenoscopy (EGD) for staging malignant causes | *Esophagogastroduodenoscopy (EGD) is done for staging suspicious malignant causes that were diagnosed in barium esophagogram | ||
*Ct scan for staging malignant strictures | *Ct scan is used for staging malignant strictures | ||
*Manometry in cases of esophageal stricture due to dysmotility | *Manometry is used in cases of esophageal stricture due to dysmotility | ||
*Chest radiography | *Chest radiography can be used for diagnosis extrinsic compression as a cause of esophageal stricture | ||
**[Finding 1] | **[Finding 1] | ||
**[Finding 2] | **[Finding 2] | ||
Revision as of 14:09, 13 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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
Benign strictures can be distinguished from malignant strictures based on barium esophagography:
- 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 |
- Endoscopic ultrasound for detection local invasion in malignant causes
- Esophagogastroduodenoscopy (EGD) is done for staging suspicious malignant causes that were diagnosed in barium esophagogram
- Ct scan is used for staging malignant strictures
- Manometry is used in cases of esophageal stricture due to dysmotility
- Chest radiography can be used for diagnosis extrinsic compression as a cause of esophageal stricture
- [Finding 1]
- [Finding 2]
- [Finding 3]
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.