Download Atlas of Esophageal Diseases by Gulchin A. Ergun, Peter J. Kahrilas (auth.), Roy C. Orlando PDF

By Gulchin A. Ergun, Peter J. Kahrilas (auth.), Roy C. Orlando MD (eds.)

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Inflammatory changes can cause pharyngeal weakness that can appear neurogenic in origin. Whether the motor abnormalities seen represent a direct effect of edema or an effect of associated myositis or neural injury is uncertain. ion Cricoplwryngeal bar FIGURE Jet effect 2-30. Hypopharyngeal (cricopharyngeal) bar. A, Lateral radiograph in a patient with hypopharyngeal bar. There is a prominent horizontal bar protruding from the posterior wall of the pharynx at the level of cervical vertebral bodies 5 and 6.

The accuracy can be increased by use of a double contrast technique. A normal barium esophagram is shown. IIFM RADIOLOGY VS. ENDOSCOPY IN ESOPHAGEAL DISEASES RADIOLOGY ENDOSCOPY Cerv1cal web Extrinsic compression ++++ ++++ ++++ ++ Esophageal diverticula ++++ Carcinoma ++++ Oropharyngeal dysphagia Acute caustic injury Pill-induced 1njury Foreign body Gastroesophageal reflux disease* PeptiC stricture Barrett's epithelium Lower esophageal mucosal ring lnfeoious esophagitis Varices Achalasia Diffuse esophageal spasm Nonspecific esophageal motor dysfunction ++ +++ ++ ++++ ++ ++++ +++ +++ ++++ ++ + +++ ++++ ++++ ++++ ++++ +++ ++++ ++++ +++ Comparison of the diagnostic accuracy of radiology with that of endoscopy.

Dodds WJ, Stewart Ef, Logemann JA: Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Roentgenol1990, 154:953-963. 2. Christ J, Gidda JS, Goyal RK: Intramural mechanism of esophageal peristalsis: Roles of cholinergic and noncholinergic nerves. Proc Natl Acad Sci US A 1984, 81:3595. 3. Gilbert RJ, Dodds WJ: Effed of selective muscarinic antagonists on peristaltic contradions in opossum smooth muscle. Am J Physiol 1986, 250:G50. 4. : Nitric oxide: Mediator of nonadrenergic noncholinergic responses of opossum esophageal muscle.

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