Esophagitis x ray: Difference between revisions
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==Barium Swallow X-ray Findings== | ==Barium Swallow X-ray Findings== | ||
===Eosinophilic esophagitis=== | ===Eosinophilic esophagitis=== | ||
*Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as [[strictures]], rings, etc.<ref name="pmid15983073">{{cite journal |vauthors=Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, Katzka DA |title=Idiopathic eosinophilic esophagitis in adults: the ringed esophagus |journal=Radiology |volume=236 |issue=1 |pages=159–65 |year=2005 |pmid=15983073 |doi=10.1148/radiol.2361041100 |url=}}</ref><ref name="pmid20020118">{{cite journal |vauthors=Binkovitz LA, Lorenz EA, Di Lorenzo C, Kahwash S |title=Pediatric eosinophilic esophagitis: radiologic findings with pathologic correlation |journal=Pediatr Radiol |volume=40 |issue=5 |pages=714–9 |year=2010 |pmid=20020118 |doi=10.1007/s00247-009-1484-2 |url=}}</ref><ref name="pmid28989006">{{cite journal |vauthors=Nelson MJ, Miller FH, Moy N, Zalewski A, Gonsalves N, Gregory DL, Hirano I |title=Comparison of endoscopy and radiographic imaging for detection of esophageal inflammation and remodeling in adults with eosinophilic esophagitis |journal=Gastrointest. Endosc. |volume= |issue= |pages= |year=2017 |pmid=28989006 |doi=10.1016/j.gie.2017.09.037 |url=}}</ref> | *Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as [[strictures]], rings, etc.<ref name="pmid15983073">{{cite journal |vauthors=Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, Katzka DA |title=Idiopathic eosinophilic esophagitis in adults: the ringed esophagus |journal=Radiology |volume=236 |issue=1 |pages=159–65 |year=2005 |pmid=15983073 |doi=10.1148/radiol.2361041100 |url=}}</ref><ref name="pmid20020118">{{cite journal |vauthors=Binkovitz LA, Lorenz EA, Di Lorenzo C, Kahwash S |title=Pediatric eosinophilic esophagitis: radiologic findings with pathologic correlation |journal=Pediatr Radiol |volume=40 |issue=5 |pages=714–9 |year=2010 |pmid=20020118 |doi=10.1007/s00247-009-1484-2 |url=}}</ref><ref name="pmid28989006">{{cite journal |vauthors=Nelson MJ, Miller FH, Moy N, Zalewski A, Gonsalves N, Gregory DL, Hirano I |title=Comparison of endoscopy and radiographic imaging for detection of esophageal inflammation and remodeling in adults with eosinophilic esophagitis |journal=Gastrointest. Endosc. |volume= |issue= |pages= |year=2017 |pmid=28989006 |doi=10.1016/j.gie.2017.09.037 |url=}}</ref> | ||
*They also help to rule out the other causes of [[dysphagia]]. | *They also help to rule out the other causes of [[dysphagia]]. | ||
* | *Findings in [[barium swallow]] imaging of eosionphilic esophagitis include multiple rings | ||
[[Image:Eosinophilic esophagiits ba swallow.jpg|thumb|center|150px|[[Barium swallow]] of the esophagus, showing multiple rings associated with eosinophilic esophagitis.]] | [[Image:Eosinophilic esophagiits ba swallow.jpg|thumb|center|150px|[[Barium swallow]] of the esophagus, showing multiple rings associated with eosinophilic esophagitis.]] | ||
Revision as of 18:16, 24 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief:
Overview
Barium Swallow X-ray Findings
Eosinophilic esophagitis
- Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as strictures, rings, etc.[1][2][3]
- They also help to rule out the other causes of dysphagia.
- Findings in barium swallow imaging of eosionphilic esophagitis include multiple rings
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
(Images shown below are courtesy of RadsWiki)
- Irregular shaggy outline of the esopahgeal mucosal surface with multiple pseudodiverticulosis.
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.