Esophagitis x ray: Difference between revisions
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===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 chest X ray has low sensitivity. However, it is used to identify [[esophagitis]], [[esophageal]] erosions, and [[ulcers]]. | |||
* Findings in barium swallow imaging include the following: | |||
** Free [[acid reflux]] | |||
** [[Oesophagitis]] with [[scarring]] | |||
** [[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<]] | |||
===Infectious esophagitis=== | ===Infectious esophagitis=== | ||
Revision as of 15:18, 2 January 2018
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Esophagitis x ray On the Web |
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American Roentgen Ray Society Images of Esophagitis x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Upper GI Series X-Ray
Barium Swallow X-ray Findings
(Images shown below are courtesy of RadsWiki)
Eosinophilic esophagitis
- X-ray findings are as follows:[1][2][3]
- 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.
- The barium swallow of the esophagus shows multiple rings associated with EoE.
Reflux esophagitis
- Barium swallow radiograph is not recommended in diagnosis of reflux esophagitis.[4]
- Barium swallow chest X ray has low sensitivity. However, it is used to identify esophagitis, esophageal erosions, and ulcers.
- Findings in barium swallow imaging include the following:
- Free acid reflux
- Oesophagitis with scarring
- Strictures
Infectious esophagitis
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.