Abstract | PURPOSE: To assess the need for follow-up esophagography with barium-containing contrast medium after examination with a water-soluble contrast medium in the detection of esophageal perforation. MATERIALS AND METHODS: Sixty-seven patients suspected of having esophageal perforation were examined prospectively with use of an aqueous contrast medium during a 1-year period. The examinations were performed with a digital fluoroscopy unit. Eighteen patients without proved extravasation at esophagography performed with aqueous contrast medium and without other contraindications underwent esophagography with barium-containing contrast medium. RESULTS: In four of 18 patients (22%) with unremarkable findings at esophagography performed with a water-soluble contrast medium, a perforation was detected subsequently with use of a barium-containing contrast medium. No complications related to barium extravasation occurred. CONCLUSION: Patients suspected of having esophageal perforation and who have unremarkable findings at esophagography with water-soluble contrast media need to undergo follow-up esophagography with a barium-containing contrast medium. The use of a digital fluoroscopy unit does not obviate the follow-up examination.
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Authors | A Buecker, B B Wein, J M Neuerburg, R W Guenther |
Journal | Radiology
(Radiology)
Vol. 202
Issue 3
Pg. 683-6
(Mar 1997)
ISSN: 0033-8419 [Print] United States |
PMID | 9051016
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Contrast Media
- Iothalamic Acid
- Barium Sulfate
- ioxitalamic acid
- Iopamidol
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Barium Sulfate
- Contrast Media
- Esophageal Perforation
(diagnostic imaging)
- Esophagus
(diagnostic imaging)
- Female
- Fluoroscopy
- Humans
- Iopamidol
- Iothalamic Acid
(analogs & derivatives)
- Male
- Middle Aged
- Prospective Studies
- Radiographic Image Enhancement
- Solubility
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