Barrett's esophagus other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

There are no other imaging findings associated with [disease name].

OR

[Imaging modality] may be helpful in the diagnosis of [disease name]. Findings on an [imaging modality] suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

Other Imaging Findings

UNSEDATED ESOPHAGOSCOPY

• Using local anesthesia with aerosolized 4% lidocaine and oxymetazoline hydrochlorine a small-caliber upper endoscope passed transorally or transnasally into the esophagus with topical anesthesia
• We use an atomizer to instill 7 mL of aerosolized 4% lidocaine and 0.05% oxymetazoline hydrochloride into the patent nares over five minutes.
• Next, we administer a 3-second instillation of aerosolized 14% benzocaine into the oropharynx.
• We then have the patient put their chin to their chest and pass a 4.9 mm diameter flexible endoscope with a 2 mm working channel transnasally through the nasal turbinates and into the oropharynx, hypopharynx, esophagus, and stomach.
• We have found that the 5 mm caliber scope that we use remains tolerable and allows for biopsies to be taken at the time of unsedated exam, obviating the need for sedated EGD if non-dysplastic BE is discovered.