Document Detail

Radiology of esophagitis: a pattern approach.
MedLine Citation:
PMID:  2006257     Owner:  NLM     Status:  MEDLINE    
This article presents a pattern approach for diagnosing esophagitis at double-contrast esophagography. In patients with nodular elevations of the mucosa, discrete plaques should suggest Candida esophagitis, whereas poorly defined nodules should suggest reflux esophagitis and a distinctive reticular pattern of the mucosa should suggest Barrett esophagus, particularly if adjacent to the distal aspect of a high stricture. In patients with ulceration, one or more shallow ulcers at or near the gastroesophageal junction should suggest reflux esophagitis, whereas discrete, superficial ulcers in the midesophagus should suggest herpes or drug-induced esophagitis, depending on the clinical setting. In contrast, one or more giant, relatively flat ulcers should suggest cytomegalovirus esophagitis, particularly in patients with acquired immunodeficiency syndrome. Finally, thickened longitudinal folds may be caused by esophagitis, varices, or, rarely, "varicoid" carcinoma, but these conditions usually can be differentiated on radiologic grounds. By carefully analyzing the appearance and location of nodules, plaques, ulcers, or abnormal folds in the esophagus, one can usually suggest a cause of the disease.
M S Levine
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Radiology     Volume:  179     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-04-23     Completed Date:  1991-04-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1-7     Citation Subset:  AIM; IM    
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
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MeSH Terms
Barrett Esophagus / radiography
Candidiasis / radiography
Diagnosis, Differential
Esophagitis / etiology,  radiography*
Esophagitis, Peptic / radiography
Esophagus / radiography

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