Heartburn other imaging findings: Difference between revisions
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* The [[endoscope]] has been before one of the [[diagnostic]] tools for GERD. | * The [[endoscope]] has been before one of the [[diagnostic]] tools for GERD. | ||
* Endoscopy is not recommended now for the diagnosis of GERD with the typical symptoms, however, it is used in [[screening]] for the GERD complications as [[esophagitis]], [[esophageal]] [[strictures]], and [[barrett's esophagus]].<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> | * Endoscopy is not recommended now for the diagnosis of GERD with the typical symptoms, however, it is used in [[screening]] for the GERD complications as [[esophagitis]], [[esophageal]] [[strictures]], and [[barrett's esophagus]].<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> | ||
* [[Endoscopy]] is also beneficial in doing [[biopsies]] in the [[screening]] of [[barrett's esophagus]]. | * [[Endoscopy]] is also beneficial in doing [[biopsies]] in the [[screening]] of [[barrett's esophagus]], or while trying to diagnose [[eosinophilic esophagitis]]. | ||
* Other advantages include also the possibility of [[H. pylori]] testing. | |||
==References== | ==References== | ||
Revision as of 20:14, 6 September 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2] Ahmed Elsaiey, MBBCH [3]
Other Imaging Findings
X-Ray
Barium swallow radiograph
- Barium swallow radiograph is not recommended in diagnosis of GERD.[1]
- Barium swallow chest X ray has low sensitivity. However, it is used to identify associated problems with GERD like esophagitis, esophageal erosions, and ulcers.
- Findings in barium swallow imaging include the following:
Manometry
In this test, a pressure sensor (manometer) is passed through the mouth into the esophagus and measures the pressure of the lower esophageal sphincter directly.
Endoscopy
The esophageal mucosa can be visualized directly by passing a thin, lighted tube with a tiny camera attached (an endoscope) through the mouth to examine the esophagus and stomach. In this way, evidence of esophageal inflammation can be detected, and biopsies taken if necessary. Since an endoscopy allows a doctor to visually inspect the upper digestive track the procedure may help identify any additional damage to the tract that may not have been detected otherwise.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [4]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [5]
Overview
There are no other imaging findings associated with GERD. However, endoscopy may be used in screening for the complications associated with chronic GERD like barrett's esophagus.
Other Imaging Findings
Endoscopy
- The endoscope has been before one of the diagnostic tools for GERD.
- Endoscopy is not recommended now for the diagnosis of GERD with the typical symptoms, however, it is used in screening for the GERD complications as esophagitis, esophageal strictures, and barrett's esophagus.[1]
- Endoscopy is also beneficial in doing biopsies in the screening of barrett's esophagus, or while trying to diagnose eosinophilic esophagitis.
- Other advantages include also the possibility of H. pylori testing.