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Radiology, Vol 169, 141-143, Copyright © 1988 by Radiological Society of North America
ARTICLES |
SH Brick, DF Caroline, AS Lev-Toaff, AC Friedman, K Grumbach and PD Radecki
Department of Diagnostic Imaging, Temple University Hospital, Philadelphia, PA 19140.
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.
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M. Keberle, G. Wittenberg, A. Trusen, F. Hoppe, and D. Hahn Detection of Pharyngeal Perforation: Comparison of Aqueous and Barium-Containing Contrast Agents Am. J. Roentgenol., November 1, 2000; 175(5): 1435 - 1438. [Abstract] [Full Text] [PDF] |
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