Boerhaave syndrome other imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2] Shaghayegh Habibi, M.D.[3]
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.
Contrast Esophagram
- 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.
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Gastrografin Esophagram: With the ingestion of Gastrografin, a right-sided oesophageal leak into the pleural space quickly occurs. The leak crosses over slightly into the left pleural space and extends a little into the retrocrural/retroperitoneal space as well.; Source- Radiopaedia
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.