Esophagitis x ray: Difference between revisions

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===Reflux esophagitis===
===Reflux esophagitis===
* [[Barium swallow]] radiograph is not recommended in diagnosis of reflux esophagitis.<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 [[esophagitis]], [[esophageal]] erosions, and [[ulcers]].
* Findings in barium swallow imaging include the following:
** Free [[acid reflux]]
** [[Oesophagitis]] with [[scarring]]
** [[Strictures]]
[[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<]]


===Infectious esophagitis===
===Infectious esophagitis===

Revision as of 15:18, 2 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Upper GI Series X-Ray

Barium Swallow X-ray Findings

(Images shown below are courtesy of RadsWiki)

Eosinophilic esophagitis

  • X-ray findings are as follows:[1][2][3]
  • Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as strictures, rings, etc.
  • They also help to rule out the other causes of dysphagia.
  • The barium swallow of the esophagus shows multiple rings associated with EoE.
Barium swallow of the esophagus, showing multiple rings associated with eosinophilic esophagitis.

Reflux esophagitis

Source: Case courtesy of Dr Hani Salam, From the case "https://radiopaedia.org/cases/9585">rID: 9585<

Infectious esophagitis

References

  1. Zimmerman SL, Levine MS, Rubesin SE, Mitre MC, Furth EE, Laufer I, Katzka DA (2005). "Idiopathic eosinophilic esophagitis in adults: the ringed esophagus". Radiology. 236 (1): 159–65. doi:10.1148/radiol.2361041100. PMID 15983073.
  2. Binkovitz LA, Lorenz EA, Di Lorenzo C, Kahwash S (2010). "Pediatric eosinophilic esophagitis: radiologic findings with pathologic correlation". Pediatr Radiol. 40 (5): 714–9. doi:10.1007/s00247-009-1484-2. PMID 20020118.
  3. Nelson MJ, Miller FH, Moy N, Zalewski A, Gonsalves N, Gregory DL, Hirano I (2017). "Comparison of endoscopy and radiographic imaging for detection of esophageal inflammation and remodeling in adults with eosinophilic esophagitis". Gastrointest. Endosc. doi:10.1016/j.gie.2017.09.037. PMID 28989006.
  4. 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.


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