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Sensitivity of single-contrast radiology in esophageal disease: A study of 240 patients with endoscopically verified abnormality

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Abstract

Single-contrast radiology of the esophagus was correlated with endoscopy in 240 patients with the following endoscopically verified abnormalities: esophagitis 170, rings 28, malignancies 19, varices 9, miscellaneous 14. For all the abnormalities except mild esophagitis, the overall sensitivity of the radiology in these 240 patients was 92%. All 19 cancers were diagnosed radiologically, whereas 90% of moderate and severe esophagitis was detected. The single-contrast examination thus reliably identified clinically significant disease of the esophagus. Comparison of these results to recent reports employing double-contrast technique suggests that claims of superiority for the double-contrast esophagram over the single-contrast study are not supported.

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References

  1. Skucas J, Schrank WW: The routine air-contrast examination of the esophagus.Radiology 115:482–484, 1975

    PubMed  Google Scholar 

  2. Goldstein HM, Dodd GD: Double-contrast examination of the esophagus.Gastrointest Radiol 1:3–6, 1976

    Article  PubMed  Google Scholar 

  3. Laufer I:Double Contrast Gastrointestinal Radiology with Endoscopic Correlation. Philadelphia: WB Saunders Co, 1979, pp 79–128

    Google Scholar 

  4. Seaman WB: Pathophysiology of the esophagus.Semin Roentgenol 16:214–227, 1981

    Article  PubMed  Google Scholar 

  5. Cassel DM, Anderson MF, Zboralske FF: Double-contrast esophagrams. The prone technique.Radiology 139:737–739, 1981

    PubMed  Google Scholar 

  6. Behar J, Brand DL, Brown FC, Castell DO, Cohen S, Crossley RJ, Pope CE II, Winans CS: Cimetidine in the treatment of symptomatic gastroesophageal reflux.Gastroenterology 74:441–448, 1978

    PubMed  Google Scholar 

  7. Koehler RE, Moss AA, Margulis AR: Early radiographic manifestations of carcinoma of the esophagus.Radiology 119:1–5, 1976

    PubMed  Google Scholar 

  8. Cockerill EM, Miller RE, Chernish SM, McLaughlin GC III, Rodda BE: Optimal visualization of esophageal varices.AJR 126:512–523, 1976

    PubMed  Google Scholar 

  9. Miller RE, Chernish SM, Brunelle RL: A compararative double-blind study of esophageal barium pastes.Gastrointest Radiol 2:163–168, 1977

    Article  PubMed  Google Scholar 

  10. Suzuki H, Kobayashi S, Endo M, Nakayama K: Diagnosis of early esophageal cancer.Surgery 71:99–103, 1972

    PubMed  Google Scholar 

  11. Itai Y, Kogure T, Okuyama Y, Akiyama H: Superficial esophageal carcinoma — radiological findings in double-contrast studies.Radiology 126:597–601, 1978

    PubMed  Google Scholar 

  12. Yamada A: Radiologic assessment of resectability and prognosis in esophageal carcinoma.Gastrointest Radiol 4:213–218, 1979

    Article  PubMed  Google Scholar 

  13. Zornosa J, Lindell MM Jr: Radiologic evaluation of small esophageal carcinoma.Gastrointest Radiol 5:107–111, 1980

    Article  PubMed  Google Scholar 

  14. Moss AA, Koehler RE, Margulis AR: Initial accuracy of esophagograms in detection of small esophageal carcinoma.AJR 127:909–913, 1976

    PubMed  Google Scholar 

  15. Laufer I:Double Contrast Gastrointestinal Radiology with Endoscopic Correlation. Philadelphia: WB Saunders Co, 1979, pp 129–153

    Google Scholar 

  16. Goldstein HM, Zornosa J, Hopens T: Intrinsic diseases of the adult esophagus: benign and malignant tumors.Semin Roentgenol 16:183–197, 1981

    Article  PubMed  Google Scholar 

  17. Nakayama K: Surgical treatment of esophageal malignancy. In: Bockus HL (ed):Gastroenterology, Vol. 1, 3rd Ed. Philadelphia: WB Saunders Co, 1974, pp 307–318

    Google Scholar 

  18. Ming S:Tumors of the Esophagus and Stomach. Washington, DC: Armed Forces Institute of Pathology, 1973, pp 30–43

    Google Scholar 

  19. Postlethwait RW:Surgery of the Esophagus. New York: Appleton-Century-Crofts, 1979, pp 341–414

    Google Scholar 

  20. Norton GA, Postlethwait RW, Thompson WM: Esophageal carcinoma: a survey of populations at risk.South Med J 73:25–27, 1980

    PubMed  Google Scholar 

  21. Gelfand DW, Ott DJ: Anatomy and technique in evaluating the esophagus.Semin Roentgenol 16:168–182, 1981

    Article  PubMed  Google Scholar 

  22. Koehler RE, Weyman PJ, Oakley HF: Single- and double-contrast techniques in esophagitis.AJR 135:15–19, 1980

    PubMed  Google Scholar 

  23. Ott DJ, Gelfand DW, Wu WC: Reflux esophagitis: radiographic and endoscopic correlation.Radiology 130:583–588, 1979

    PubMed  Google Scholar 

  24. Ott DJ, Wu WC, Gelfand DW: Reflux esophagitis revisited: prospective analysis of radiologic accuracy.Gastrointest Radiol 6:1–7, 1981

    Article  PubMed  Google Scholar 

  25. Ott DJ, Gelfand DW, Wu WC: Single- and double-contrast techniques in esophagitis.AJR 136:227, 1981 (Letter)

    Google Scholar 

  26. Balfe DM, Koehler RE, Weyman PJ, Baron RL, Reinus WR: Routine air-contrast esophagography during upper gastrointestinal examinations.Radiology 139:739–741, 1981

    PubMed  Google Scholar 

  27. Itai Y, Kogure T, Okuyama Y, Ariyama H: Diffuse finely nodular lesions of the esophagus.AJR 128:563–566, 1977

    PubMed  Google Scholar 

  28. Skucas J, Schrank WW, Meyers PC, Lee CS: Herpes esophagitis: a case studied by air-contrast esophagography.AJR 128:497–499, 1977

    PubMed  Google Scholar 

  29. Shortsleeve MJ, Gauvin GP, Gardner RC, Greenberg MS: Herpetic esophagitis.Radiology 141:611–617, 1981

    PubMed  Google Scholar 

  30. Levine MS, Laufer I, Kressel HY, Friedman HM: Herpes esophagitis.AJR 136:863–866, 1981

    PubMed  Google Scholar 

  31. Kressel HY, Glick SN, Laufer I, Banner M: Radiologic features of esophagitis.Gastrointest Radiol 6:103–108, 1981

    Article  PubMed  Google Scholar 

  32. Goldberg HI, Dodds WJ: Cobblestone esophagus due to monilial infection.AJR 104:608–612, 1968

    Google Scholar 

  33. Lewicki AM, Moore JP: Esophageal moniliasis.AJR 125:218–225, 1975

    Google Scholar 

  34. Athey PA, Goldstein HM, Dodd GD: Radiologic spectrum of opportunistic infections of the upper gastrointestinal tract.AJR 129:419–424, 1977

    PubMed  Google Scholar 

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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 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. David W. Gelfand
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  3. Wallace C. Wu
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Ott, D.J., Gelfand, D.W. & Wu, W.C. Sensitivity of single-contrast radiology in esophageal disease: A study of 240 patients with endoscopically verified abnormality. Gastrointest Radiol 8, 105–110 (1983). https://doi.org/10.1007/BF01948100

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  • DOI: https://doi.org/10.1007/BF01948100

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