Heartburn other imaging findings: Difference between revisions
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__NOTOC__ | |||
{{Heartburn}} | {{Heartburn}} | ||
{{CMG}} | {{CMG}} {{AE}} {{Jose}} {{AEL}} | ||
==Other Imaging Findings== | ==Other Imaging Findings== | ||
==X-Ray== | |||
=== '''Barium swallow radiograph''' === | |||
* [[Barium swallow]] radiograph is not recommended in diagnosis of GERD.<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 associated problems with GERD like [[esophagitis]], [[esophageal]] erosions, and [[ulcers]]. | |||
* Findings in barium swallow imaging include the following: | |||
** Free [[acid reflux]] | |||
** [[Oesophagitis]] with [[scarring]] | |||
** [[Strictures]] | |||
** [[Barrett's esophagus|Barrett's oesophagus]] | |||
[[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<]] | |||
===Manometry=== | ===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. | 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=== | ===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. | 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. | ||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Revision as of 18:13, 4 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.
References
- ↑ 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.