Esophageal stricture other imaging findings
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Esophageal stricture Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
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
Benign strictures can be distinguished from malignant strictures based on barium esophagography:[1][2]
- Benign:concentric narrowing, smoothly tapering,
- Malignant: eccentric narrowing, abrupt, asymmetric ,
Barium esophagography is helpful in the diagnosis esophageal stricture. Findings on a barium esophagography suggestive of esophageal stricture include:
| Barium swallowing finding | |
|---|---|
| Gastroesophageal Reflux Disease |
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| Esophageal carcinoma | Irregular contour and shelflike proximal and distal margins |
| Scleroderma | Tapered narrowing in long segment of the distal esophagus |
| Nasogastric intubation | Long segment of narrowing in the distal esophagus |
| Radiation stricture | Smooth, tapered segment of concentric narrowing |
| Drug-induced stricture | Asymmetric focal narrowing in the upper thoracic esophagus |
| Esophageal sclerotherapy | Long, irregular stricture in the distal esophagus |
| Caustic ingestion | Segmental or diffuse strictures |
- Endoscopic ultrasound for detection local invasion in malignant causes
- Esophagogastroduodenoscopy (EGD) is done for staging suspicious malignant causes that were diagnosed in barium esophagogram
- Ct scan is used for staging malignant strictures
- Manometry is used in cases of esophageal stricture due to dysmotility
- Chest radiography can be used for diagnosis extrinsic compression as a cause of esophageal stricture
References
- ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
- ↑ Mendelson AH, Small AJ, Agarwalla A, Scott FI, Kochman ML (2015). "Esophageal anastomotic strictures: outcomes of endoscopic dilation, risk of recurrence and refractory stenosis, and effect of foreign body removal". Clin. Gastroenterol. Hepatol. 13 (2): 263–271.e1. doi:10.1016/j.cgh.2014.07.010. PMC 4289652. PMID 25019695.