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Intervention on the Esophagus

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Dysphagia

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Currently, most interventions on the esophagus are performed by endoscopists. However, diagnostic imaging is often necessary prior to or after these interventions. This chapter reviews the roles of diagnostic radiological imaging as well as diagnostic and therapeutic endoscopy in the management of common esophageal diseases including hemorrhage, Barrett's esophagus and esophageal cancer, esophageal foreign bodies, achalasia, and peptic strictures.

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References

  • Albillos A, Peñas B, Zamora J (2010) Role of endoscopy in primary prophylaxis for esophageal variceal bleeding. Clin Liver Dis 14:231–250

    Article  PubMed  Google Scholar 

  • Ackroyd R, Watson DI, Devitt PG, Jamieson GG (2001) Laparoscopic cardiomyotomy and anterior partial fundoplication for achalasia. Surg Endosc 15:683–686

    Article  PubMed  CAS  Google Scholar 

  • Ayantunde AA, Oke T (2006) A review of gastrointestinal foreign bodies. Int J Clin Pract 60:735–739

    Article  PubMed  CAS  Google Scholar 

  • Baker ME, Einstein DM, Herts BR, Remer EM, Motta-Ramirez GA, Ehrenwald E, Rice TW, Richter JE (2007) Gastroesophageal reflux disease: integrating the barium esophagram before and after antireflux surgery. Radiology 243:329–339

    Article  PubMed  Google Scholar 

  • Bethge N, Vakil N (2001) A prospective trial of a new self-expanding plastic stent for malignant esophageal obstruction. Am J Gastroenterol 96:1350–1354

    Article  PubMed  CAS  Google Scholar 

  • Battersby NJ, Bonney GK, Subar D, Talbot L, Decadt B, Lynch N (2012) Outcomes following oesophageal stent insertion for palliation of malignant strictures: A large single centre series. J Surg Oncol 105:60–65

    Article  PubMed  Google Scholar 

  • Chen LQ, Hu CY, Ghadirian P, Duranceau A (1999) Early detection of esophageal squamous cell carcinoma and its effects on therapy: an overview. Dis Esophagus 12:161–167

    Article  PubMed  CAS  Google Scholar 

  • Colon V, Grade A, Pulliam G, Johnson C, Fass R (1999) Effect of doses of glucagon used to treat food impaction on esophageal motor function of normal subjects. Dysphagia 14:27–30

    Article  PubMed  CAS  Google Scholar 

  • Dent J (2011) Barrett’s esophagus: A historical perspective, an update on core practicalities and predictions on future evolutions of management. J Gastroenterol Hepatol 26:11–30 (suppl 1)

    Google Scholar 

  • Emami MH, Raisi M, Amini J, Tabatabai A, Haghighi M, Tavakoli H, Hashemi M, Fude M, Farajzadegan Z, Goharian V (2008) Pneumatic balloon dilation therapy is as effective as esophagomyotomy for achalasia. Dysphagia 23:155–160

    Article  PubMed  Google Scholar 

  • Ferguson DD (2005) Evaluation and management of benign esophageal strictures. Dis Esophagus 18:359–364

    Article  PubMed  CAS  Google Scholar 

  • Francis DL, Katzka DA (2010) Achalasia: update on the disease and its treatment. Gastroenterology 139:369–374

    Article  PubMed  Google Scholar 

  • Garman KS, Shaheen NJ (2011) Ablative therapies for Barrett’s esophagus. Curr Gastroenterol Rep 13:226–239

    Article  PubMed  Google Scholar 

  • Garza JM, Kaul A (2010) Gastroesophageal reflux, eosinophilic esophagitis, and foreign body. Pediatr Clin North Am 57:1331–1345

    Article  PubMed  Google Scholar 

  • Ginsberg GG, Pfau PR (2010) Foreign bodies, bezoars, and caustic ingestions. In: Feldman M, Friedman LS, Brandt LJ (eds) Sleisenger and fordtran: gastrointestinal and liver disease, 9th edn. WB Saunders, Philadelphia

    Google Scholar 

  • Imperiale TF, O’Connor B, Vaezi MF, Richter JE (2000) A cost-minimization analysis of alternative treatment strategies for achalasia. Am J Gastroenterol 95:2737–2745

    Article  PubMed  CAS  Google Scholar 

  • Johnston MH, Wong R (2004) Esophageal strictures. In: Castell DO, Richter JE (eds) The esophagus, 4th edn. Lippincott, Williams & Wilkins, Philadelphia

    Google Scholar 

  • Kaszar-Seibert DJ, Korn WT, Bindman DJ, Shortsleeve MJ (1990) Treatment of acute esophageal food impaction with a combination of glucagon, effervescent agent, and water. AJR 154:533–534

    PubMed  CAS  Google Scholar 

  • Katilius M, Velanovich V (2001) Heller myotomy for achalasia: quality of life comparison of laparoscopic and open approaches. JSLS 5:227–231

    PubMed  CAS  Google Scholar 

  • Katz PO, Gilbert J, Castell DO (1998) Pneumatic dilatation is effective long-term treatment for achalasia. Dig Dis Sci 43:1973–1977

    Article  PubMed  CAS  Google Scholar 

  • Klingler PJ, Bammer T, Wetscher GJ, Glaser KS, Seelig MH, Floch NR, Branton SA, Hinder RA (1999) Minimally invasive surgical techniques for the treatment of gastro-esophageal reflux disease. Dig Dis 17:23–36

    Article  PubMed  CAS  Google Scholar 

  • Kochhar R, Goenka MK, Mehta SK (1992) Esophageal strictures following endoscopic variceal sclerotherapy. Dig Dis Sci 37:347–352

    Article  PubMed  CAS  Google Scholar 

  • Lagergren J, Lagergren P (2010) Oesophageal cancer. BMJ 341:1207–1212

    Article  Google Scholar 

  • Larghi A, Lightdale CJ, Memeo L, Bhagat G, Okpara N, Rotterdam H (2005) EUS followed by EMR for staging of high-grade dysplasia and early cancer in Barrett’s esophagus. Gastrointest Endosc 62:16–23

    Article  PubMed  Google Scholar 

  • Levine MS (2005) Barrett esophagus: update for radiologists. Abdom Imaging 30:133–141

    Article  PubMed  CAS  Google Scholar 

  • Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003) Radiologic diagnosis of benign esophageal strictures: a pattern approach. Radiographics 23:897–909

    Article  PubMed  Google Scholar 

  • Narra S, Al-Kawas FH (2010) The importance of preparation and innovation in the endoscopic management of esophageal foreign bodies. Gastroenterol Hepatol 6:795–797

    Google Scholar 

  • Ott DJ (1994) Gastroesophageal reflux disease. Radiol Clinics North Am 32:1147–1166

    CAS  Google Scholar 

  • Ott DJ, Chen MYM (1998) What is the value of the radiological diameter of the esophagogastric junction following dilation? In: Giuli R, Galmiche JP, Jamieson GG, Scarpignato C (eds) The esophagogastric junction. John Libbey, Paris, pp 1356–1359

    Google Scholar 

  • Ott DJ, Donati D, Wu WC, Chen MYM, Gelfand DW (1991) Radiographic evaluation of achalasia immediately after pneumatic dilatation with the Rigiflex dilator. Gastrointest Radiol 16:279–282

    Article  PubMed  CAS  Google Scholar 

  • Patti MG, Herbella FA (2010) Fundoplication after laparoscopic Heller myotomy for esophageal achalasia: what type? J Gastrointest Surg. 14:1453–1458

    Article  PubMed  Google Scholar 

  • Pregun I, Hritz I, Tulassay Z, Herszényi L (2009) Peptic esophageal stricture: medical treatment. Dig Dis 27:31–37

    Article  PubMed  Google Scholar 

  • Qureshi I, Shende M, Luketich JD (2009) Surgical palliation for Barrett’s esophagus cancer. Surg Oncol Clin N Am 18:547–560

    Article  PubMed  Google Scholar 

  • Richter JE (2008) Update on the management of achalasia: balloons, surgery and drugs Expert Rev. Gastroenterol Hepatol 2:435–445

    Google Scholar 

  • Richter JE, Boeckxstaens GE (2011) Management of achalasia: surgery or pneumatic dilation. Gut 60:869–876

    Article  PubMed  Google Scholar 

  • Seewald S, Ang TL, Omar S, Groth S, Dy F, Zhong Y, Seitz U, Thonke F, Yekebas E, Izbicki J, Soehendra N (2006) Endoscopic mucosal resection of early esophageal squamous cell cancer using the Duette mucosectomy kit. Endoscopy 38:1029–1031

    Article  PubMed  CAS  Google Scholar 

  • Shah VH, Kamath PS (2010) Portal hypertension and gastrointestinal bleeding. In: Feldman M, Friedman LS, Brandt LJ (eds) Sleisenger & Fordtran: gastrointestinal and liver disease, 9th edn. WB Saunders, Philadelphia

    Google Scholar 

  • Shaheen NJ, Sharma P, Overholt BF et al. (2009) Radiofrequency ablation in Barrett’s esophagus with dysplasia. N Engl J Med 360:2277–2288

    Article  PubMed  CAS  Google Scholar 

  • Shaheen NJ, Greenwald BD, Peery AF et al. (2010) Safety and efficacy of endoscopic spray cryotherapy for Barrett’s esophagus with high-grade dysplasia. Gastrointest Endosc 71:680–685

    Article  PubMed  Google Scholar 

  • Sharara AI, Rockey DC (2001) Gastroesophageal variceal bleeding. N Engl J Med 345:669–681

    Article  PubMed  CAS  Google Scholar 

  • Sharma P, Kozarek R (2010) Role of esophageal stents in benign and malignant diseases. Am J Gastroenterol 105:258–273

    Article  PubMed  Google Scholar 

  • Vaezi MF, Baker ME, Achkar E, Richter JE (2002) Timed barium oesophagram: better predictor of long term success after pneumatic dilation in achalasia than symptom assessment. Gut 50:765–770

    Article  PubMed  CAS  Google Scholar 

  • van Heel NC, Haringsma J, Spaander MC, Bruno MJ, Kuipers EJ (2010) Esophageal stents for the relief of malignant dysphagia due to extrinsic compression. Endoscopy 42:536–540

    Article  PubMed  Google Scholar 

  • Vleggaar FP, Siersema PD (2011) Expandable stents for malignant esophageal disease. Gastrointest Endosc Clin N Am 21:377–388

    Article  PubMed  CAS  Google Scholar 

  • Wallace MB (2004) Special endoscopic imaging and optical techniques. In: Castell DO, Richter JE (eds) The esophagus, 4th edn. Lippincott, Williams & Wilkins, Philadelphia

    Google Scholar 

  • Wu WT, Chiu CT, Kuo CJ, Lin CJ, Chu YY, Tsou YK, Su MY (2011) Endoscopic management of suspected esophageal foreign body in adults. Dis Esophagus 24:131–137

    Article  PubMed  CAS  Google Scholar 

  • Wiseman EF, Ang YS (2011) Risk factors for neoplastic progression in Barrett’s esophagus. World J Gastroenterol 17:3672–3683

    Article  PubMed  CAS  Google Scholar 

  • Yamamoto AJ, Levine MS, Katzka DA, Furth EE, Rubesin SE, Laufer I (2001) Short-segment Barrett’s esophagus: findings on double-contrast esophagography in 20 patients. AJR Am J Roentgenol 176:1173–1178

    PubMed  CAS  Google Scholar 

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Correspondence to Jason D. Conway .

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© 2012 Springer-Verlag Berlin Heidelberg

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Conway, J.D., Ott, D.J., Chen, M.Y. (2012). Intervention on the Esophagus. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2012_607

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  • DOI: https://doi.org/10.1007/174_2012_607

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17886-3

  • Online ISBN: 978-3-642-17887-0

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