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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
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Eosinophilic esophagitis: imaging features with endoscopic and pathologic correlation.

Patricia V Hernandez1, Syed Amer2, Dora M Lam-Himlin3

  • 1Department of Gastroenterology and Hepatology, Mayo Clinic Arizona, 13400 E Shea Blvd, Scottsdale, AZ, 85259, USA.

Abdominal Radiology (New York)
|January 3, 2020
PubMed
Summary
This summary is machine-generated.

Fluoroscopy can reveal key imaging features of eosinophilic esophagitis, correlating with endoscopic and pathologic findings. This aids in diagnosing this chronic immune-mediated esophageal disease.

Keywords:
Eosinophilic esophagitisEsophagramEsophagusFluoroscopy

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Area of Science:

  • Gastroenterology
  • Radiology
  • Immunology

Background:

  • Eosinophilic esophagitis (EoE) is a chronic immune-mediated esophageal disorder causing dysfunction.
  • Diagnosis relies on endoscopic biopsies showing eosinophil-predominant inflammation.
  • Esophageal imaging offers insights into structural and functional changes.

Purpose of the Study:

  • To review fluoroscopic imaging features of eosinophilic esophagitis.
  • To correlate these findings with endoscopic and pathologic results.
  • To highlight the role of radiology in assessing EoE.

Main Methods:

  • Review of fluoroscopic imaging in patients with eosinophilic esophagitis.
  • Correlation of imaging findings with endoscopic and histopathologic data.
  • Analysis of structural and functional esophageal changes.

Main Results:

  • Fluoroscopy can identify characteristic imaging features of eosinophilic esophagitis.
  • Radiologic findings may correlate with endoscopic and pathologic assessments.
  • Fluoroscopic studies are valuable for detecting subtle changes and fibrotic remodeling.

Conclusions:

  • Radiologic examinations are valuable tools for assessing eosinophilic esophagitis.
  • Fluoroscopy can reveal fibrostenotic changes, such as narrowing, more clearly than endoscopy.
  • Recognizing radiologic signs facilitates earlier diagnosis and treatment of EoE.