Radiographic and endoscopic sensitivity in detecting lower esophageal mucosal ring

Dj, Ott; Ym, Chen; Wc, Wu; Gelfand, DW; Munitz, H A

doi:10.2214/ajr.147.2.261

Cited by 87 publications

(24 citation statements)

References 9 publications

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“…Similarly, barium esophagography is more sensitive than endoscopy for detection of esophageal strictures. 18 dysphagia should begin with a barium study although performing endoscopy, particularly for patients with suspected mechanical causes of dysphagia, is reasonable.…”

Section: Initial Evaluationmentioning

confidence: 99%

Approach to the Patient with Dysphagia

Jalil

Katzka

Castell

2015

The American Journal of Medicine

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Dysphagia is a fascinating symptom. It is ostensibly simple when defined by trouble swallowing, yet its subtleties in deciphering and its variations in pathophysiology almost mandate a thorough knowledge of medicine itself. With patience and careful questioning, a multitude of various disorders may be suggested before an objective test is performed. Indeed, the ability to diligently and comprehensively explore the symptom of dysphagia is not only rewarding but also a real test for a physician who prides himself or herself on good history taking.

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Section: Initial Evaluationmentioning

confidence: 99%

Approach to the Patient with Dysphagia

Jalil

Katzka

Castell

2015

The American Journal of Medicine

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“…Lower esophageal mucosal rings are absent in patients with long segment Barrett esophagus. Barium esophagram with a prone full-column technique is more sensitive than double-contrast radiography or endoscopy in detecting lower esophageal mucosal rings [141]. Performing a Valsalva maneuver during the esophagram is helpful in demonstrating a ring [142].…”

Section: Lower Esophageal Mucosal Ring (Schatzki Ring)mentioning

confidence: 99%

Esophagus: anatomy and developmental and structural anomalies

Hirano

2008

Textbook of Gastroenterology

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“…The rings can be missed if the distal esophagus is not adequately distended at fluoroscopy (Fig 28b), so it is important to obtain prone views of the esophagus during continuous drinking of a low-density barium suspension (67). Conversely, rings can also be missed if the hiatal hernia is overdistended, resulting in overlap of the distal esophagus and hernia that obscure the ring (68).…”

Section: Lower Esophageal Ringsmentioning

confidence: 99%

“…Rings with a maximum luminal diameter of more than 20 mm rarely cause dysphagia, whereas rings with a maximum diameter of less than 13 mm almost always cause dysphagia (66). Studies have shown that esophagography is a sensitive technique for the detection of symptomatic lower esophageal rings, sometimes revealing rings that are missed at endoscopy (67).…”

Section: Lower Esophageal Ringsmentioning

confidence: 99%

Diseases of the Esophagus: Diagnosis with Esophagography

Levine

Rubesin²

2005

Radiology

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The barium esophagram is a valuable diagnostic test for evaluating structural and functional abnormalities of the esophagus. The study is usually performed as a multiphasic examination that includes upright double-contrast views with a high-density barium suspension, prone single-contrast views with a low-density barium suspension, and, not infrequently, mucosal-relief views with either density of barium suspension. The double-contrast phase optimizes the ability to detect inflammatory or neoplastic diseases, whereas the single-contrast phase optimizes the ability to detect hiatal hernias and lower esophageal rings or strictures. Fluoroscopic examination of the esophagus is also important for assessing motility disorders such as achalasia and diffuse esophageal spasm. This article is a review of gastroesophageal reflux disease, other types of esophagitis, benign and malignant esophageal tumors, varices, lower esophageal rings, diverticula, and esophageal motility disorders, all of which can be diagnosed with the aid of esophagography.

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Radiographic and endoscopic sensitivity in detecting lower esophageal mucosal ring

Cited by 87 publications

References 9 publications

Approach to the Patient with Dysphagia

Approach to the Patient with Dysphagia

Esophagus: anatomy and developmental and structural anomalies

Diseases of the Esophagus: Diagnosis with Esophagography

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