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Esophagitis x ray

Introduction

Overview

Overview

Barium studies cannot diagnose esophagitis but are helpful in identifying any underlying anatomical abnormalities such as strictures or rings.

Barium Swallow X-ray Findings

Barium Swallow X-ray Findings

Eosinophilic esophagitis

  • Barium studies cannot diagnose EoE but are helpful in identifying any underlying anatomical abnormalities such as strictures, rings, etc.[1][2][3]
  • They also help to rule out the other causes of dysphagia.
  • Findings in barium swallow imaging of eosionphilic esophagitis include multiple rings
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<

(Images shown below are courtesy of RadsWiki)

  • Irregular shaggy outline of the esopahgeal mucosal surface with multiple pseudodiverticulosis.
References

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.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Ajay Gade MD[2]]