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Expectation from Endoscopy to Radiology in the Diagnosis of Esophageal Diseases Seibi Kobayashi 1 , Masamichi Nakayama 1 1Department of Internal Medicine, Aichi Cancer Center Hospital pp.319-322
Published Date 1979/3/25
DOI https://doi.org/10.11477/mf.1403107636
  • Abstract
  • Look Inside

 It is unusual that endoscopy does expect X-ray examination in the diagnosis of esophageal disease, because endoscopic examination is usually performed following X-ray examination. Therefore, we herein will discuss mainly on the advantages of X-ray examination compared to endoscopy in certain respects.

 First of all, X-ray examination is more easily and safely carried out in pediatric and elderly patients than endoscopy, because complications may be more often encountered with endoscopy in those patients.

 Secondly, X-ray examination is more beneficial to obtain informations on the neighboring organs or tissues of the esophagus.

 Thirdly, X-ray examination plays an important role as a screening method which is expected to reveal even a very small abnormality.

 Fourthly, X-ray examination reveals configuration of the entire esophagus even in patients with advanced carcinoma of the esophagus through which an endoscope can not pass down distally. In our series of esophageal carcinoma, the endoscope could pass through the lesion in only 25%. However, the development of GIF P2 (pediatric gastrointestinal fiberscope) could improve up to nearly 70% in passing through a stenotic lesion. X-ray examination is also more beneficial in detecting achalasia, scleroderma, webs in the upper esophagus and mild hiatal hernia.

 Fifthly, X-ray examination is only reliable diagnostic method at the institutions without endoscopic facilities.


Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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