Boerhaave syndrome diagnostic study of choice: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 3: | Line 3: | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} | ||
== Overview == | == Overview == | ||
Contrast Esophagram usually establishes the diagnosis of an esophageal perforation the location and extent of [[perforation]]. The accuracy of the test depends on the size and location of the [[perforation]] the technique used for the study. [[Gastrografin]] a water-soluble [[contrast]] is used for the esophagram [[procedure]]. If the [[Gastrografin]] esophagram is inconclusive, a barium esophagram should be performed. [[Gastrografin]] is preferred over the barium esophagram to prevent barium induced inflammatory response in [[mediastinum]] and [[pleural space]], whereas [[barium]] esophagram is very efficient in picking the small [[Perforation|perforations]]. | |||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
=== Study of choice: === | === Study of choice: === | ||
*Contrast Esophagram usually establishes the diagnosis of an esophageal perforation<ref name="pmid3753071">{{cite journal |vauthors=Bladergroen MR, Lowe JE, Postlethwait RW |title=Diagnosis and recommended management of esophageal perforation and rupture |journal=Ann. Thorac. Surg. |volume=42 |issue=3 |pages=235–9 |year=1986 |pmid=3753071 |doi= |url=}}</ref><ref name="pmid7089304">{{cite journal |vauthors=Dodds WJ, Stewart ET, Vlymen WJ |title=Appropriate contrast media for evaluation of esophageal disruption |journal=Radiology |volume=144 |issue=2 |pages=439–41 |year=1982 |pmid=7089304 |doi=10.1148/radiology.144.2.7089304 |url=}}</ref><ref name="pmid1126592">{{cite journal |vauthors=James AE, Montali RJ, Chaffee V, Strecker EP, Vessal K |title=Barium or gastrografin: which contrast media for diagnosis of esophageal tears? |journal=Gastroenterology |volume=68 |issue=5 Pt 1 |pages=1103–13 |year=1975 |pmid=1126592 |doi= |url=}}</ref><ref name="pmid1193339">{{cite journal |vauthors=Schwartz SS |title=Letter: Barium or gastrografin: which contrast media for diagnosis of esophageal tears? |journal=Gastroenterology |volume=69 |issue=6 |pages=1377 |year=1975 |pmid=1193339 |doi= |url=}}</ref><ref name="pmid1115308">{{cite journal |vauthors=Vessal K, Montali RJ, Larson SM, Chaffee V, James AE |title=Evaluation of barium and gastrografin as contrast media for the diagnosis of esophageal ruptures or perforations |journal=Am J Roentgenol Radium Ther Nucl Med |volume=123 |issue=2 |pages=307–19 |year=1975 |pmid=1115308 |doi= |url=}}</ref> | *Contrast Esophagram usually establishes the diagnosis of an [[esophageal perforation]]<ref name="pmid3753071">{{cite journal |vauthors=Bladergroen MR, Lowe JE, Postlethwait RW |title=Diagnosis and recommended management of esophageal perforation and rupture |journal=Ann. Thorac. Surg. |volume=42 |issue=3 |pages=235–9 |year=1986 |pmid=3753071 |doi= |url=}}</ref><ref name="pmid7089304">{{cite journal |vauthors=Dodds WJ, Stewart ET, Vlymen WJ |title=Appropriate contrast media for evaluation of esophageal disruption |journal=Radiology |volume=144 |issue=2 |pages=439–41 |year=1982 |pmid=7089304 |doi=10.1148/radiology.144.2.7089304 |url=}}</ref><ref name="pmid1126592">{{cite journal |vauthors=James AE, Montali RJ, Chaffee V, Strecker EP, Vessal K |title=Barium or gastrografin: which contrast media for diagnosis of esophageal tears? |journal=Gastroenterology |volume=68 |issue=5 Pt 1 |pages=1103–13 |year=1975 |pmid=1126592 |doi= |url=}}</ref><ref name="pmid1193339">{{cite journal |vauthors=Schwartz SS |title=Letter: Barium or gastrografin: which contrast media for diagnosis of esophageal tears? |journal=Gastroenterology |volume=69 |issue=6 |pages=1377 |year=1975 |pmid=1193339 |doi= |url=}}</ref><ref name="pmid1115308">{{cite journal |vauthors=Vessal K, Montali RJ, Larson SM, Chaffee V, James AE |title=Evaluation of barium and gastrografin as contrast media for the diagnosis of esophageal ruptures or perforations |journal=Am J Roentgenol Radium Ther Nucl Med |volume=123 |issue=2 |pages=307–19 |year=1975 |pmid=1115308 |doi= |url=}}</ref> | ||
**The location and | **'''The location and''' | ||
**Extent of perforation | **'''Extent of [[perforation]]''' | ||
*The accuracy of the test depends on | *The accuracy of the test depends on | ||
**The size and location of the perforation | **'''The size and location of the [[perforation]]''' | ||
**The technique used for the study | **'''The technique used for the study''' | ||
*[[Gastrografin]] is a water-soluble contrast is used for the esophagram procedure. | |||
*Gastrografin a water-soluble contrast is used for the esophagram procedure. | *If the [[Gastrografin]] esophagram is inconclusive, a [[barium]] esophagram should be performed. | ||
*If the Gastrografin esophagram is inconclusive, a barium esophagram should be performed. | *[[Gastrografin]] is preferred over the [[barium]] esophagram to prevent [[barium]] induced [[inflammatory]] response in [[mediastinum]] or [[Pleural space|pleural spaces]], whereas [[barium]] esophagram is very efficient in picking the small [[Perforation|perforations]]. | ||
*Gastrografin is preferred over the barium esophagram to prevent barium induced inflammatory response in | *[[Barium]] esophagram can detect | ||
*Barium esophagram can detect | **Sixty percent of [[cervical]] [[Perforation|perforations]] | ||
** | **Ninety percent of [[intrathoracic]] perforations. | ||
** | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 18:08, 6 February 2018
|
Boerhaave syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Boerhaave syndrome diagnostic study of choice On the Web |
|
American Roentgen Ray Society Images of Boerhaave syndrome diagnostic study of choice |
|
Risk calculators and risk factors for Boerhaave syndrome diagnostic study of choice |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Contrast Esophagram usually establishes the diagnosis of an esophageal perforation the location and extent of perforation. The accuracy of the test depends on the size and location of the perforation the technique used for the study. Gastrografin a water-soluble contrast is used for the esophagram procedure. If the Gastrografin esophagram is inconclusive, a barium esophagram should be performed. Gastrografin is preferred over the barium esophagram to prevent barium induced inflammatory response in mediastinum and pleural space, whereas barium esophagram is very efficient in picking the small perforations.
Diagnostic Study of Choice
Study of choice:
- Contrast Esophagram usually establishes the diagnosis of an esophageal perforation[1][2][3][4][5]
- The location and
- Extent of perforation
- The accuracy of the test depends on
- The size and location of the perforation
- The technique used for the study
- Gastrografin is a water-soluble contrast is used for the esophagram procedure.
- If the Gastrografin esophagram is inconclusive, a barium esophagram should be performed.
- Gastrografin is preferred over the barium esophagram to prevent barium induced inflammatory response in mediastinum or pleural spaces, whereas barium esophagram is very efficient in picking the small perforations.
- Barium esophagram can detect
- Sixty percent of cervical perforations
- Ninety percent of intrathoracic perforations.
References
- ↑ Bladergroen MR, Lowe JE, Postlethwait RW (1986). "Diagnosis and recommended management of esophageal perforation and rupture". Ann. Thorac. Surg. 42 (3): 235–9. PMID 3753071.
- ↑ Dodds WJ, Stewart ET, Vlymen WJ (1982). "Appropriate contrast media for evaluation of esophageal disruption". Radiology. 144 (2): 439–41. doi:10.1148/radiology.144.2.7089304. PMID 7089304.
- ↑ James AE, Montali RJ, Chaffee V, Strecker EP, Vessal K (1975). "Barium or gastrografin: which contrast media for diagnosis of esophageal tears?". Gastroenterology. 68 (5 Pt 1): 1103–13. PMID 1126592.
- ↑ Schwartz SS (1975). "Letter: Barium or gastrografin: which contrast media for diagnosis of esophageal tears?". Gastroenterology. 69 (6): 1377. PMID 1193339.
- ↑ Vessal K, Montali RJ, Larson SM, Chaffee V, James AE (1975). "Evaluation of barium and gastrografin as contrast media for the diagnosis of esophageal ruptures or perforations". Am J Roentgenol Radium Ther Nucl Med. 123 (2): 307–19. PMID 1115308.