In vivo vital staining as an aid to identification of esophagogastric mucosal junction in man

Nothmann, Bruce J.; Wright, John; Schuster, Marvin M.

doi:10.1007/bf02239531

Cited by 46 publications

(25 citation statements)

References 7 publications

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“…5). In vivo staining of the esophageal mucosa with 5% Lugol's solution improves the endoscopic detection because the glycogen plaques become dark-brown while the neoplastic or inflammatory lesions stain poorly [10,14].…”

Section: Radiologic and Endoscopic Findingsmentioning

confidence: 99%

Glycogenic acanthosis of the esophagus: Radiographic and pathologic features

Ghahremani

Rushovich

1984

Gastrointest Radiol

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Diagnostic features of glycogenic acanthosis of the esophagus on air-contrast radiography, endoscopy, and histopathologic studies in 10 selected cases are presented. Glycogenic acanthosis of the esophagus is a common benign entity, characterized by multifocal plaques of hyperplastic squamous epithelium with abundant intracellular glycogen deposits. At esophagoscopy or on autopsy specimens these lesions appear as slightly raised grey-white plaques which are usually 2-10 mm in diameter and may be confluent. They cause a finely nodular or cobblestone mucosal pattern demonstrable on double-contrast views of the well-distended esophagus. The findings are not associated with mucosal ulcerations, luminal narrowing, or mobility disturbance, although some patients may have coexistent hiatal hernia and gastroesophageal reflux.

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Section: Radiologic and Endoscopic Findingsmentioning

confidence: 99%

Glycogenic acanthosis of the esophagus: Radiographic and pathologic features

Ghahremani

Rushovich

1984

Gastrointest Radiol

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“…A reflux oesophagitis may mask this zig-zag line; Palmer's (1967) criteria for the oesophagoscopic diagnosis of sliding type hiatal herniathe finding of the oesophagogastric mucosal junction above the diaphragm at 40 cm or less from the incisors, is therefore unreliable. The same is true for the presence of gastro-oesophageal reflux, a phenomenon which is only dependent upon the competence of the gastro-oesophagic sphincter (Dagradi, 1969 (Nothmann, Wright and Schuster, 1972). Since the so-called Schatzki-ring is always associated with a hiatus hernia, endoscopic visualization of this structure may be of additional help in the diagnosis of hiatus hernia (Figs.…”

Section: Discussionmentioning

confidence: 99%

“…Ortega (1972) added a new criterion: if the separation between the anatomic (cardial lunule) and mucosal union is more than 3 cm and if the cardial lunule shows undulated borders, the diagnosis of hiatal hernia can be made with great precision. The oesophagogastric mucosal junction can easily be identified in vivo by staining with Lugol's solution (Nothmann, Wright and Schuster, 1972). Since the so-called Schatzki-ring is always associated with a hiatus hernia, endoscopic visualization of this structure may be of additional help in the diagnosis of hiatus hernia (Figs.…”

Section: Discussionmentioning

confidence: 99%

Gastro-oesophageal reflux and hiatus hernia—endoscopy

Roêsch¹

1974

Postgraduate Medical Journal

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THE incidence of hiatal hernia varies between 1 and 70°O in various studies depending on the enthusiasm of the examiner and the technique of provocation. Although certain endoscopic criteria of hiatus hernia have been established, radiology seems the diagnostic procedure of choice to demonstrate the presence and size of a hiatus hernia. From the endoscopic point of view it is often difficult to differentiate between achalasia, cardiac sphincter insufficiency and a small hiatus hernia; the identification also varies with the technique applied where the oesophagoscopic inspection is usually more reliable (Roesch and Ottenjann, 1969).

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“…They were associated with hiatal hernia in three cases(No. 1,3,5), postbulbar ulcer in one case (No. 1), hemorrhagic gastric and/or duodenal erosion in three cases(No.…”

mentioning

confidence: 98%

“…The application of modified Lugol's solution to the esophageal epithelium has been evaluated to be useful as an endoscopic diagnostic aid (1)(2)(3)(4)(5). By this endoscopic Lugol's solution spraying method, the areas of the esophagitis reveal a diminished staining relative to the severity of denudation of injured epithelium.…”

mentioning

confidence: 99%

The Application of Endoscopic Lugol's Solution Spraying Method for the Diagnosis of the Esophagitis: (For the follow-up Observation of Acute Severe Esophagitis)

Akasaka¹,

Kimoto²,

Kawai³

et al. 1976

Endoscopy

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Endoscopic Lugol's solution spraying method is valuable for the diagnosis of esophagitis or esophageal ulcer because: a) the margin of the lesion can be found clearly. The injured epithelium remains unstained or weakly-stained with modified Lugol's solution. b) The severity of the lesion can be judged by the degree of staining of injured epithelium (complete or incomplete staining). c) The repair of the injured epithelium can be observed morphologically and functionally by the recovery of the staining and the "fine wrinkle" surface pattern of the injured epithelium. In five cases of acute severe esophagitis, endoscopic follow-up studies were performed by the endoscopic Lugol's solution spraying method. During the healing process of esophagitis, the recovery of the staining and the surface pattern of injured epithelium was observed endoscopically. The repair of injured epithelium began within fourteen days and was completed from twentyone to sixty-three days. The course of the repair of injured epithelium can be observed morphologically and functionally with this procedure and the healing of the esophagitis should be considered complete when there is full recovery of staining and surface pattern of the injured epithelium.

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In vivo vital staining as an aid to identification of esophagogastric mucosal junction in man

Cited by 46 publications

References 7 publications

Glycogenic acanthosis of the esophagus: Radiographic and pathologic features

Glycogenic acanthosis of the esophagus: Radiographic and pathologic features

Gastro-oesophageal reflux and hiatus hernia—endoscopy

The Application of Endoscopic Lugol's Solution Spraying Method for the Diagnosis of the Esophagitis: (For the follow-up Observation of Acute Severe Esophagitis)

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