CT after uncomplicated esophageal sclerotherapy

Mauro, Matthew A.; Jaques, Paul F.; Swantkowski, TM; Staab, E V; Em, Bozymski

doi:10.2214/ajr.147.1.57

Cited by 14 publications

(6 citation statements)

References 15 publications

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“…(11) observed mediastinal effusion in all 9 cases and the effusion appeared as a masslike lesion in 6 of them. As to the lungs and pleural space, they demonstrated subsegmental atelectasis in 6 and pleural effusion in 7 cases.…”

Section: Discussionmentioning

confidence: 87%

“…(7) reported on one case and MAURO et colI. (11) reported" on a prospective study of 9 cases. They found that the major esophageal change was wall thickening with a low-attenuating region within the wall giving a laminated appearance to the esophagus.…”

Section: Discussionmentioning

confidence: 95%

“…MAURO et coll. (11) reported that low density lesions inside the esophageal wall could be explained by a combination of acute inflammatory reaction, edema, hemorrhage, non-enhancing varices, and possibly the sclerosing agent itself. The lack of a serosal covering on the esophagus facilitates the adjacent paraesophageal reaction.…”

Section: Discussionmentioning

confidence: 99%

“…(8,9,13,17). After sclerotherapy, there are a few studies showing changes at esophagography (1,18), chest radiography (14) and CT (7,11). CT is the most useful method to evaluate the changes in the mediastinum, pleural space, and lungs.…”

mentioning

confidence: 99%

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Computed Tomography following Endoscopic Sclerotherapy of Esophageal Varices

et al. 1987

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Computed tomography of the chest following endoscopic injection sclerotherapy for esophageal varices was performed in 17 procedures in 13 patients. CT scans were obtained before and within 48 hours after the procedure. CT findings included: esophageal wall thickening; a low-attenuating lesion within the wall of the esophagus with varying appearances, either laminated, localized, or inhomogeneous; a mediastinal lesion; pleural effusion; and various types of pulmonary changes such as atelectasis, pleural-based lesions, dilatation of peripheral pulmonary vessels, and nodular lesions. However, on follow-up CT they had regressed or disappeared. The changes in the mediastinum and pleural space might be caused by direct extension of inflammation from the esophagus, but those in the lungs, especially dilatation of peripheral vessels, may be caused by the sclerosing agent passing to the pulmonary vessels.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Computed Tomography following Endoscopic Sclerotherapy of Esophageal Varices

et al. 1987

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“…The present study observed six episodes (23.08%) of pleural effusion. The reported incidence of pleural effusion varies from 40% to 50% with oil‐based sclerosants 5,9 , 15 . Bacon et al .…”

Section: Discussionmentioning

confidence: 99%

Pleuropulmonary complications of esophageal variceal sclerotherapy with absolute alcohol

Sethy

Kochhar²,

Behera

et al. 2003

J of Gastro and Hepatol

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Prophylactic versus emergency sclerotherapy of large esophageal varices prior to liver transplantation

et al. 1993

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From January 1985 through July 1987, adult patients accepted for liver transplantation with large esophageal varices were enrolled in a study evaluating the use of prophylactic vs emergency sclerotherapy. Six hundred forty-eight subjects received prophylactic sclerotherapy, and 172 received emergent sclerotherapy. Esophageal stricture formation was increased 12.9-fold (P < 0.001), esophageal perforation 6.4-fold (P < 0.005), and postsclerotherapy bleeding esophageal ulcers 3.7-fold (P < 0.001) in those receiving emergency sclerotherapy as opposed to prophylactic sclerotherapy. These differences were even greater if the number of sclerotherapy sessions rather than the number of patients was used as the denominator for the comparisons. In total, 19.6% of emergency sclerotherapy cases were associated with an untoward outcome of sclerotherapy; only 1.9% of cases receiving prophylactic sclerotherapy experienced an untoward outcome (P < 0.001). These data demonstrate that emergency sclerotherapy is associated with a greater prevalence of complications and support earlier studies that show that sclerotherapy prevents variceal bleeding over the short term. The data also suggest that when applied to patients with large varices awaiting orthotopic liver transplantation, it enhances the chance of a patient surviving to be transplanted by preventing a variceal bleed and the spiral of liver failure and death that frequently follows an episode of acute variceal bleeding.

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CT after uncomplicated esophageal sclerotherapy

Cited by 14 publications

References 15 publications

Computed Tomography following Endoscopic Sclerotherapy of Esophageal Varices

Computed Tomography following Endoscopic Sclerotherapy of Esophageal Varices

Pleuropulmonary complications of esophageal variceal sclerotherapy with absolute alcohol

Prophylactic versus emergency sclerotherapy of large esophageal varices prior to liver transplantation

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