Type:
Educational Exhibit
Keywords:
Obstruction / Occlusion, Acute, Diagnostic procedure, Fluoroscopy, Thorax, Stomach (incl. Oesophagus)
Authors:
P. Giusti, G. Gherarducci, E. Fruzzetti, P. Bemi, G. Zingoni, C. Bartolozzi; Pisa/IT
DOI:
10.1594/ecr2012/C-1051
Conclusion
Oesophageal X ray study is the best diagnostic choice,
because is rapid and with a little patient discomfort and allows repeated follow up exams to evaluate the therapeutical strategy.
Both in acute and chronic phase is absolutely necessary for treatment’s planning and follow up.
The important role of radiology is in the acute phase: to evaluate the damage and complications; and even more in the chronic phase: these patients are affected by the reparative fibrosis stenosis that has to be treated with serial and gradual dilatation of the oesophagus,
with the risk of perforation that can be clearly and easily evaluated by seriography performed immediately after the dilations.
In severe cases with multiple strictures,
the choice is surgical intervention with colonic transposition.
(Fig 10)