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Imaging Barrett's oesophagus.

E L Kweka, M O'Neill, C Cooney

    Clinical Radiology
    |July 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Barrett's oesophagus diagnosis can be improved with barium swallow and technetium-99m sodium pertechnetate (99Tcm-pertechnetate) scintigraphy. Positive scintigraphy results guide endoscopists to biopsy the gastrooesophageal junction for accurate diagnosis.

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    Area of Science:

    • Gastroenterology
    • Diagnostic Imaging
    • Oncology

    Background:

    • Barrett's oesophagus is a precancerous condition requiring accurate diagnosis.
    • Histological confirmation is the gold standard for Barrett's oesophagus.
    • Radiological and nuclear medicine imaging can aid in diagnosis.

    Purpose of the Study:

    • To evaluate the utility of barium swallow examinations and 99Tcm-pertechnetate scintigraphy in diagnosing Barrett's oesophagus.
    • To determine the most valuable diagnostic signs on barium swallow examinations.
    • To assess the sensitivity of 99Tcm-pertechnetate scintigraphy in detecting Barrett's oesophagus.

    Main Methods:

    • Retrospective review of eight patients with histologically confirmed Barrett's oesophagus.
    • Analysis of barium swallow examinations and 99Tcm-pertechnetate scintigraphy findings.

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  • Correlation of imaging findings with histological results.

    • Main Results:

    • Barium swallow examinations revealed characteristic signs including stricture site and mucosal outpouchings.
    • 99Tcm-pertechnetate scintigraphy was positive in all eight patients.
    • Scintigraphy demonstrated high sensitivity for detecting Barrett's oesophagus.

    Conclusions:

    • Barium swallow examination and 99Tcm-pertechnetate scintigraphy are valuable tools for diagnosing Barrett's oesophagus.
    • Scintigraphy should be performed in patients with suspected Barrett's oesophagus on barium swallow.
    • Positive scintigraphy findings warrant thorough endoscopic biopsies up to the gastrooesophageal junction.