Esophageal varices: evaluation with transabdominal US.

Kishimoto, Riwa; Chen, M; Ogawa, Hidehisa; Wakabayashi, Masao; Kogutt, Marvin S.

doi:10.1148/radiology.206.3.9494481

Cited by 26 publications

(12 citation statements)

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“…The abdominal esophagus and the gastroesophageal junction are easily demonstrated by sonography through the acoustic window of the left lobe of the liver. Studies have shown that the normal abdominal esophagus 3 and many diseases of the gastroesophageal junction-including gastroesophageal reflux, 10,11 achalasia, 12,13 carcinoma, 2,4 esophageal varices, 14,15 hiatal hernia, 16,17 and leiomyoma 18 -are detectable by transabdominal sonography. Conventional sonography is increasingly used in the routine evaluation of the cervical esophagus.…”

Section: Discussionmentioning

confidence: 99%

Sonographic demonstration of the normal thoracic esophagus

Zhu

Liu

Luo

et al. 2004

J of Clinical Ultrasound

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Section: Discussionmentioning

confidence: 99%

Sonographic demonstration of the normal thoracic esophagus

Zhu

Liu

Luo

et al. 2004

J of Clinical Ultrasound

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“…Studies have shown that the normal abdominal esophagus [11] and many diseases of the gastroesophageal junction -including GER [12,13] , achalasia [14,15] , carcinoma [16,17] , esophageal varices [18,19] , hiatal hernia [20,21] and leiomyoma [22] -are detectable by transabdominal sonography. Conventional sonography is increasingly used in the routine evaluation of the cervical esophagus.…”

Section: Discussionmentioning

confidence: 99%

Transcutaneous Cervical and Transabdominal Ultrasonography as a Diagnostic Tool in Gastroesophageal Reflux in Childhood

Karabulut

Bostancı²,

Kaçar³

et al. 2010

ORL

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Background/Aim: The aim of this study is to investigate if there is a diagnostic expressive difference in the angle of His, upper and lower esophageal diameter (UED and LED), wall thickness of cervical esophagus (WTCE) measured by cervical and transabdominal ultrasonography (USG) between children with (+) and without gastroesophageal reflux (GER–). Methods: 50 children were separated into 2 groups. Group 1 was the control group (n = 30) consisting of children who had no symptoms of GER and had no GER detected in USG. Group 2 was the study group (n = 20) consisting of children with complaints related to GER, and who were GER+ by USG and esophageal pH monitoring. The USG examinations were completed after having observed 3 episodes of reflux or after 30 min if no reflux was detected. The angle of His, UED, LED and WTCE were measured. In 24-hour esophageal pH monitoring, acid contact to the proximal or distal probe greater than 5.0% of the total time below pH 4 was accepted as pathologic reflux. Results: The age range of the 50 children (30 boys) was 4–13 years. Between the 2 groups there were no differences with regard to age and gender. Values of UED, LED and WTCE were statistically higher in group 2 compared with group 1. The angle of His was higher in the control group, but this was not statistically significant. Conclusion: Our study is the first in the literature that shows that measuring UED, LED and WTCE by USG, which is a noninvasive, readily available repeatable, cheap and fast technique, has a high diagnostic value in children with suspected GER.

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“…Moreover, in our experience and as per many published studies, portal vein (PV) pressure is not always correlated with PV diameter; the only method for evaluating PV pressure is by an intravascular invasive measure [4][5][6][7]. However, in our study we performed examination of the esophagi of 673 patients to demonstrate esophageal wall thicknesses, which was very helpful in evaluation of the degree of esophageal varices.…”

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confidence: 91%

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Elrazek

2015

European Journal of Gastroenterology &Amp; Hepatology

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gastric alterations in dyspeptic patients. In any case, regardless of the design, and the diagnostic intention behind the study, a method offering an area under the receiver operating characteristic curve lower than 0.70 is considered poor or failed. Even taking the higher range of the 95% confidence intervals for the sensitivity and specificity achieved by GastroPanel in our population, between 20 and 30% of patients would be misdiagnosed either in clinical or screening settings.

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Esophageal varices: evaluation with transabdominal US.

Abstract: Transabdominal US can play a role in screening for esophageal varices. The intraabdominal esophagus should be observed during standard abdominal US in patients with chronic liver disease.

Cited by 26 publications

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Sonographic demonstration of the normal thoracic esophagus

Sonographic demonstration of the normal thoracic esophagus

Transcutaneous Cervical and Transabdominal Ultrasonography as a Diagnostic Tool in Gastroesophageal Reflux in Childhood

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