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[Imaging of the esophagus. Normal and pathologic aspects]
K Marsot-Dupuch1, B Meyer, E Tiret
1Service de Radiologie, Hôpital Saint-Antoine, Paris.
Summary
Esophageal imaging studies like CT scans and barium swallows complement endoscopy for diagnosing lesions and functional disorders. Barium swallow with glucagon can treat food obstruction, while endoscopic ultrasound assesses mass extension.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
- Esophageal Diseases
Background:
- Endoscopy is the primary tool for esophageal examination.
- Imaging modalities play a crucial, complementary role in esophageal diagnostics.
Purpose of the Study:
- To outline the indications and utility of various imaging studies in esophageal evaluation.
- To highlight how imaging complements endoscopy and aids in specific conditions.
Main Methods:
- Review of indications for Computed Tomography (CT) scans and barium swallows.
- Description of Endoscopic Ultrasonography (EUS) for mass assessment.
- Mention of Percutaneous Ultrasonography in specific pediatric and cervical cases.
Main Results:
- Imaging studies are indicated for space-occupying lesions and functional esophageal disorders.
- Barium swallow with glucagon is therapeutic for food impaction.
- EUS provides local staging of esophageal masses.
- Ultrasonography aids in evaluating specific esophageal regions in children and the neck.
Conclusions:
- Imaging studies are indispensable for comprehensive esophageal assessment, often complementing endoscopic findings.
- Specific imaging techniques offer unique diagnostic and therapeutic benefits in esophageal disease management.