Esophagitis x ray

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

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 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 radiograph is not recommended in diagnosis of reflux esophagitis.^[4]
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

(Images shown below are courtesy of RadsWiki)

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

References

↑ 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.
↑ 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.
↑ 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.
↑ 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.

Overview