Barrett esophagus as an extension of severe esophagitis: analysis of radiologic signs in 29 cases

Twenty-nine cases of Barrett esophagus verified by endoscopy and 16 cases confirmed by histology were reviewed for pertinent radiologic signs. All patients had barium-filled and mucosal relief films, and all but five cases had double-contrast films. Common radiologic signs in descending order were thickened and irregular mucosal folds (28/29), hiatal hernia (26/29), esophageal stricture (25/29), esophageal ulcer (20/29), distal esophageal widening (19/29), granular mucosal pattern (16/24), reticular mucosal pattern (9/24), and intramural pseudodiverticula (6/29), all of which are also recognized signs of reflux esophagitis. Midesophageal stricture, esophageal ulcer, and distal esophageal widening were particularly indicative of Barrett esophagus. Since there appears to be no specific sign of Barrett esophagus, a multifaceted approach is suggested concentrating on the association of Barrett esophagus with the radiographic signs of severe reflux esophagitis.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				M. S. Levine and S. E. Rubesin Diseases of the Esophagus: Diagnosis with Esophagography Radiology, November 1, 2005; 237(2): 414 - 427. [Abstract] [Full Text] [PDF]

				A. J. Yamamoto, M. S. Levine, D. A. Katzka, E. E. Furth, S. E. Rubesin, and I. Laufer Short-Segment Barrett's Esophagus: Findings on Double-Contrast Esophagography in 20 Patients Am. J. Roentgenol., May 1, 2001; 176(5): 1173 - 1178. [Abstract] [Full Text] [PDF]