X-ray image of the esophagus

2021-07-02 11:50 AM

The abdomen is very short, after passing through the diaphragmatic foramen and ending with the cardia, it empties into the posterior aspect of the large gastric aneurysm

X-ray image of the esophagus

The technique of medical radiological examination of the esophagus

Give the patient a barium suspension, or a water-soluble iodinated contrast agent. Take sips to capture each segment, many positions, then take a picture of the entire esophagus.

The normal image of esophageal

The normal esophagus has a well-defined border, the mucosal folds run parallel to each other, and is divided into three segments:

Short neck.

The longest thoracic segment, located close to the posterior border of the heart, has two imprints of the aorta and the left main bronchus.

The abdomen is very short, after passing through the diaphragmatic foramen and ending with the cardia, it pours into the posterior - in the large gastric aneurysm and creates an acute angle with this part, the angle of His, which has the function of preventing gastric reflux - Stomach.

Common signs of esophageal disease

Esophageal motility disorders:

Dysfunction due to secondary waves originating from the lower thoracic esophagus, going up and down is called antiperistalsis.

Dysfunction due to multistage waves: creating deep depressions due to multiple peristaltic layers meeting along the length of the esophagus.

Physical injuries:

Constriction pattern: is a common sign.

Narrow in malignant case, thread-shaped, misaligned, border irregular, the junction between the lesion and heal suddenly changed.

The stenosis, in this case, is benign, axially straight, with even margins, the junction of the lesion, and the healing gradually changing.

Malignant and benign esophageal strictures

Figure: Malignant and benign esophageal strictures.

(a. malignant stenosis; b. benign stenosis)

Lapse shape: An image that penetrates the lumen of the esophagus or is pressed from the outside to create a bright or unevenly bordered defect, depending on the cause.

Ulcer shape: These are convex shapes, chiseling out of the esophagus wall, creating drug deposits

Types of defects in the esophagus

Figure: Types of defects in the esophagus.

b: Lenticular esophageal ulcer (side view and straight view)

c: Irregular border defect – malignant

d: Regular border defect - benign

e: Missing image due to insertion from outside.

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