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Reflux esophagitis revisited: Prospective analysis of radiologic accuracy

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Abstract

A prospective radiologic-endoscopic study of the esophagogastric region in 266 patients, including 206 normals and 60 with esophagitis, is reported. The endoscopic classification grading severity of esophagitis was grade 1 — normal; grades 2, 3, and 4 — mild, moderate, and severe esophagitis, respectively. Radiology detected 22% of patients with mild esophagitis, 83% with moderate esophagitis, and 95% with severe esophagitis. Although hiatal hernia was present in 40% of normals and 89% with esophagitis, absence of radiographic hiatal hernia excluded esophagitis with 95% accuracy. The implications of this study regarding the role of radiology in evaluating patients with suspected reflux esophagitis are discussed.

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Authors and Affiliations

  1. Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA

    David J. Ott & David W. Gelfand

  2. Department of Internal Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA

    Wallace C. Wu

Authors
  1. David J. Ott
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  2. Wallace C. Wu
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  3. David W. Gelfand
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Ott, D.J., Wu, W.C. & Gelfand, D.W. Reflux esophagitis revisited: Prospective analysis of radiologic accuracy. Gastrointest Radiol 6, 1–7 (1981). https://doi.org/10.1007/BF01890213

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  • DOI: https://doi.org/10.1007/BF01890213

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