Esophagography and chest CT for detection of perforated esophagus: what factors influence accuracy?

Terrazas, Martha; Marjon, Lauren; Geter, Matthew; Schwartz, Jess D.; Thompson, William R.

doi:10.1007/s00261-019-02187-w

Cited by 8 publications

(9 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Computed tomography (CT) plays an important role in guiding management particularly in assessing the location, size, and extent of contamination. The sensitivity of CT in diagnosis of a perforation ranges from 50 to 100% [22][23][24]. Contained perforations or mucosal tears do prove to be more of a challenge to diagnose, which contribute to decreased sensitivity.…”

Section: Discussionmentioning

confidence: 99%

Trans-hiatal repair for Oesophageal and Junctional perforation: a case series

et al. 2020

View full text Add to dashboard Cite

Background: Oesophageal perforation is a life-threatening condition that requires urgent intervention. Surgical repair is recommended within 24 h of onset to minimise mortality risk, traditionally via an open thoracotomy or a laparotomy. Primary oesophageal repair via a laparoscopic trans-hiatal approach has been seldomly reported due to concerns of inadequate eradication of soilage in the mediastinum and pleural space, as well as poor access and an increased operative time in an unwell population. Case presentation: We report a case series of 3 oesophageal and junctional perforations with varying presentations, demonstrating how the laparoscopic trans-hiatal approach can be used successfully to manage oesophageal perforations. Conclusions: Laparoscopic trans-hiatal repair is an attractive option for oesophageal and junctional perforations, in haemodynamically stable surgical candidates, in the absence of gross contamination of the thoracic cavity.

show abstract

Section: Discussionmentioning

confidence: 99%

Trans-hiatal repair for Oesophageal and Junctional perforation: a case series

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Although CT esophagography has superior sensitivity and specificity to fluoroscopy for diagnosing esophageal perforation in the native esophagus, fluoroscopy and CT are complementary in the postoperative patient with concurrent review of both modalities resulting in greater sensitivity and specificity 10,19,21. This is exemplified in Figure 6 where CT obtained post-esophagectomy is concerning for contained leak but fluoroscopic examination shows contrast is not fixed in that area, suggesting the CT findings are a result of redundant stomach 10…”

Section: Considerations In the Postoperative Patientmentioning

confidence: 99%

“…Traditionally, fluoroscopic esophagography has been used in the initial evaluation of suspected esophageal perforation, with CT esophagography performed to confirm leak and guide possible surgical management 4,7. Studies have shown that CT esophagography has superior sensitivity and negative predictive value for esophageal perforations and is much less time, resource, and personnel intensive compared with fluoroscopy 3,4,7,10…”

mentioning

confidence: 99%

Imaging in the Evaluation of Esophageal Trauma Including Surgery

Salehpoor¹,

Shiehmorteza²,

Terrazas³

et al. 2022

Contemporary Diagnostic Radiology

Self Cite

View full text Add to dashboard Cite

After participating in this educational activity, the radiologist should be better able to describe an approach to the imaging evaluation of suspected esophageal perforation and identify key imaging features of native and neoesophageal rupture. Category: Gastrointestinal Modality: MultipleLippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This continuing medical education activity expires on July 30, 2024.

show abstract

“…If the diagnosis still remains in question after contrast esophagography, CT esophagography can be performed to help increase the sensitivity for discovering an esophageal perforation. 12 A recent study showed that use of both CT with oral contrast and a routine esophagram could improve the accuracy of the diagnosis of an esophageal perforation, but small contained leaks can be difficult to visualize with either modality. This study compared over 100 paired exams of patients suspected to have an esophageal perforation and included 33 trauma patients.…”

Section: Diagnosismentioning

confidence: 99%

“…This study compared over 100 paired exams of patients suspected to have an esophageal perforation and included 33 trauma patients. 12 Most of the data supporting paired diagnostic modalities, however, are on patients with nontraumatic esophageal perforations.…”

Section: Diagnosismentioning

confidence: 99%