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Radiology, Vol 149, 639-642, Copyright © 1983 by Radiological Society of North America

ARTICLES

Pleural and mediastinal changes following endoscopic injection sclerotherapy of esophageal varices

BJ Saks, AE Kilby, PA Dietrich, LH Coffin and EL Krawitt

Postero-anterior and lateral chest radiographs of patients undergoing endoscopic injection sclerotherapy of esophageal varices were reviewed. Radiographs were obtained prior to and within 48 hours of treatment. Following sclerotherapy, pleural effusions and densities were commonly seen at the azygoesophageal reflection and the posterior wall of the bronchus intermedius; however, on follow-up they had resolved. Most patients were asymptomatic, and morbidity was low. These findings suggest that inflammation developing after endoscopic injection sclerotherapy extends beyond the esophageal wall into the mediastinum and pleural space.




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