Significance of diffuse granularity and nodularity of the esophageal mucosa at double-contrast radiography

Graziani, Lanfroi; Bearzi, Italo; Romagnoli, Armida; Pesaresi, A; Montesi, A

doi:10.1007/bf01893061

Cited by 26 publications

(3 citation statements)

References 19 publications

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“…To our knowledge, less than 30 patients with diffuse leiomyomatosis of the esophagus have been reported in the English literature [1, 2, 3, 4, 5, 6, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21]. Fernandes et al [2]described a patient and reviewed 14 previous cases of diffuse leiomyomatosis of the esophagus which could be classified into two types.…”

Section: Discussionmentioning

confidence: 99%

Diffuse Leiomyomatosis of the Esophagus

Cheng¹,

Hsu²,

Hsu³

et al. 2000

Dig Surg

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Background: Leiomyomas are rare esophagus neoplasms. They are usually solitary, and the diffuse lesion is extremely rare. Case Report: A 19-year-old male presented with a 3-year history of occasional dysphagia and postprandial regurgitation. The chest radiographs showed a huge mass in the posterior mediastinum. Barium esophagograms showed narrowing of the middle third esophagus with proximal dilatation. The fibroesophagoscopy demonstrated multiple submucosal nodules below a level 22 cm from the incisor and covered with intact mucosa. CT scans of the chest showed a long segment of circumferential soft tissue in the posterior mediastinum which encircled and involved the upper two thirds of the esophagus. An intrathoracic esophagectomy with cervical esophagogastrostomy via the substernal route was performed. Grossly, multiple confluent myomatous nodules circumferentially involved the upper and middle third of the esophagus. Histologic findings showed diffuse leiomyomatosis of the esophagus. Conclusion: Esophageal leiomyomatosis should be considered in a young patient with long-standing dysphagia in whom smooth, tapered esophageal narrowing on barium study and circumferential esophageal wall thickening on CT scan are seen. An esophagectomy combined with a reconstruction procedure is indicated.

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Section: Discussionmentioning

confidence: 99%

Diffuse Leiomyomatosis of the Esophagus

Cheng¹,

Hsu²,

Hsu³

et al. 2000

Dig Surg

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“…Most cases that are missed occur in patients with milder forms of esophagitis, which manifest at endoscopy as mucosal erythema and friability. The single most common sign of reflux esophagitis on double-contrast esophagrams is a finely nodular or granular appearance with poorly defined radiolucencies that fade peripherally due to edema and inflammation of the mucosa (Fig 3) (6,7). This nodularity or granularity almost always extends proximally from the gastroesophageal junction as a continuous area of disease.…”

Section: Reflux Esophagitismentioning

confidence: 97%

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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“…[2122] In mild reflux esophagitis, finely nodular or granular mucosa is seen on barium swallow, which manifests as continuous area extending proximally form gastroesophageal junction. [2324] Ulceration, erosions, longitudinal fold thickening, and esophagogastric polyp can be seen in moderate to severe reflux esophagitis. Ulceration in GERD is almost always seen in lower third of esophagus extending proximally from GE junction.…”

Section: Introductionmentioning

confidence: 99%

Barium esophagogram in various esophageal diseases: A pictorial essay

Debi

Sharma

Singh

et al. 2019

Indian Journal of Radiology and Imaging

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Recent years have seen a decline in number of barium procedures due to wider availability of cross sectional imaging modalities. Though use of barium esophagography/barium swallow has decreased in day to day clinical practice, it still remains a valuable test for structural and functional evaluation of esophagus. It can be performed as single or double contrast examination or as a multiphasic examination comprising upright double contrast views followed by prone single contrast views. This pictorial essay demonstrates imaging features of various esophageal diseases on barium esophagogram.

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Significance of diffuse granularity and nodularity of the esophageal mucosa at double-contrast radiography

Cited by 26 publications

References 19 publications

Diffuse Leiomyomatosis of the Esophagus

Diffuse Leiomyomatosis of the Esophagus

Diseases of the Esophagus: Diagnosis with Esophagography

Barium esophagogram in various esophageal diseases: A pictorial essay

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