Esophageal disruption: evaluation with iohexol esophagography.

Abstract:

:Twenty-six patients with possible esophageal disruption who were also at risk for aspiration or direct communication of the esophagus with the tracheobronchial tree were examined with iohexol esophagography. Fifteen patients had normal studies confirmed by findings at a barium examination performed immediately after. In 11 patients abnormalities were diagnosed on the basis of iohexol esophagograms; the abnormalities included extraluminal extravasation of contrast material (n = 7), aspiration (n = 1), esophageal stricture with intramural diverticulosis (n = 1), edema of the gastroesophageal junction (n = 1), and epiphrenic diverticulum (n = 1). Eight of these patients were immediately reexamined with barium esophagography, which yielded no additional information. Low-osmolality, water-soluble contrast agents are a safe alternative for patients in whom barium esophagography poses a risk of mediastinitis and esophagography with diatrizoate meglumine and diatrizoate sodium (Gastrografin) poses a risk of pulmonary edema.

journal_name

Radiology

journal_title

Radiology

authors

Brick SH,Caroline DF,Lev-Toaff AS,Friedman AC,Grumbach K,Radecki PD

doi

10.1148/radiology.169.1.3420250

subject

Has Abstract

pub_date

1988-10-01 00:00:00

pages

141-3

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

169

pub_type

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