Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

DOI: 10.1148/radiol.2372041631
This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Farber, E.
Right arrow Articles by Baruch, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Farber, E.
Right arrow Articles by Baruch, Y.

Esophageal Varices: Evaluation with Esophagography with Barium versus Endoscopic Gastroduodenoscopy in Patients with Compensated Cirrhosis—Blinded Prospective Study1

Evgeny Farber, MD, Doron Fischer, MD, Rami Eliakim, MD, Nira Beck-Razi, MD, Ahuva Engel, MD, Ella Veitsman, MD, Irit Chermesh, MD, Kamel Yassin, MD, Diana Gaitini, MD, Michael Libes, MD, Shai Linn, MD, PhD, Soboh Soboh, MD and Yaacov Baruch, MD

1 From the Liver Unit (E.F., E.V., Y.B.), Department of Radiology (D.F., N.B., A.E., D.G.), Department of Gastroenterology (R.E., I.C., K.Y., M.L.), and Epidemiology Unit (S.L.), Rambam Medical Center, Efron St, Haifa 31096, Israel; Department of Internal Medicine A, Poriya Hospital, and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel (S.S.); and School of Public Health, Haifa University, Haifa, Israel (S.L.). Received September 22, 2004; revision requested November 26; revision received December 12; accepted January 18, 2005. Address correspondence to Y.B. (e-mail: ybaruch{at}rambam.health.gov.il).



View larger version (118K):

[in a new window]
  		Figure 1a. Left posterior oblique barium esophagrams. (a) Patient without EV (grade 0). (b) Patient with small EV (grade 1) (arrows). Note the irregularity of the mucosa at the lower esophagus (arrows). (c) Patient with large grade 2 EV.

 


View larger version (116K):

[in a new window]
  		Figure 1b. Left posterior oblique barium esophagrams. (a) Patient without EV (grade 0). (b) Patient with small EV (grade 1) (arrows). Note the irregularity of the mucosa at the lower esophagus (arrows). (c) Patient with large grade 2 EV.

 


View larger version (106K):

[in a new window]
  		Figure 1c. Left posterior oblique barium esophagrams. (a) Patient without EV (grade 0). (b) Patient with small EV (grade 1) (arrows). Note the irregularity of the mucosa at the lower esophagus (arrows). (c) Patient with large grade 2 EV.

 


View larger version (16K):

[in a new window]
  		Figure 2. Diagram shows suggested algorithm for use of esophagography with barium (BaEs) and endoscopic gastroduodenoscopy (referred to as "endoscopy"). According to our data and the medical literature, we believe that the classification of the incidence of EV will be approximately 40% for grade 0, 30% for grade 1 (mild irregularity of the folds), and 30% for grade 2 (irregularity of the folds was clearly present). Repeat studies are recommended every 2 years for patients with cirrhosis and no EV. "Other tests" refers to other diagnostic imaging procedures for determination of spleen size and portal hypertension.

 




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 2005 by the Radiological Society of North America.