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imaging diagnosis of esophageal disease on common(成像诊断食管疾病的常见)
Imaging diagnosis of esophageal disease on common
[Keywords] esophageal known disease diagnostic imaging (A) reflux esophagitis Also known as peptic esophagitis, the most common form of esophagitis, gastroesophageal junction was due to anti-reflux dysfunction, resulting in the stomach, duodenal contents reflux to the esophagus caused by inflammation of esophageal mucosa erosion and fibrosis and other diseases.
[Imaging] X-ray barium meal examination: 1 is not sensitive to early, can be negative, (2) inflammation of the progress of the esophageal wall can be expressed as rough, mucosal thickening Traveling disorders, mucosal erosion caused by needle-like barium point
3 gastric reflux of contrast medium, especially in the supine; 4 Since the late scar formation can cause esophageal stenosis, 5 Some patients may show hiatal hernia.
[Differential diagnosis] 1 esophagitis differentiated from other (Candida esophagitis, viral esophagitis, drug-induced esophagitis).
(2) stenosis and sclerosing esophageal required differentiated. Esophagitis when the stenosis and normal part of the boundaries is unclear, as progressive; cancer and normal part of the narrow boundaries clear, and the narrow shorter, usually not more than 5cm .
[Optimal imaging evaluation] X-ray contrast is simple, poor specificity. Endoscopic esophagitis in addition to determining the presence, but still its degree classification.
(B) the corrosive esophagitis As the esophagus caused by swallowing or swallowed corrosive damage, the extent of disease and injury and the corrosive nature of the taking, concentration, dose rate and swallow a significant relationship, and treatment is timely and relevant.
[Imaging] 1.X-ray barium meal: a history based on the length of disease and injury, angiography showed mixed performance. Lesions Light: Early esophageal show mild edema, mucosal thickening, disorder, the latter can no obvious abnormalities or esophage
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