Drug-induced esophagitis detected by double-contrast radiography
Radiology (Impact Factor: 6.87). 06/1983; 147(2):365-8. DOI: 10.1148/radiology.147.2.6836116
Patients with esophageal symptoms following drug ingestion underwent double-contrast upper gastrointestinal studies, and radiographic findings are described. Superficial esophageal ulceration and subtle mucosal abnormalities, which have not been seen on single-contrast radiographs, were confirmed on double-contrast radiographs. Erosions or ulcers usually occur in the region of the aortic arch and occasionally lower in the esophagus. Repeat esophagrams after withdrawal of the medication indicate resolution of the symptoms.
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ABSTRACT: We report 4 cases of tiny aphthous ulcers of the esophagus occurring in patients with confirmed Crohn's disease of the terminal ileum and the colon. These ulcers presented as small collections of barium surrounded by a radiolucent halo, and were demonstrable on double-contrast radiographs of the esophagus. They were located in the middle and distal thirds of the otherwise normal esophagus. A more advanced stage of Crohn's ileocolitis was present in these patients.
Article: Medication-induced esophagitis[Show abstract] [Hide abstract]
ABSTRACT: Clinical, radiographic, and endoscopic features of medication-induced esophagitis (MIE) in 4 patients are described. When the clinical history and symptoms raise a high index of suspicion for MIE, a double-contrast esophagram or endoscopic examination should be performed. The proximal esophagus, particularly the aortic segment, and occasionally the distal esophagus are the sites most commonly affected by MIE. Superficial mucosal erosions, shallow ulcers, and subtle mucosal alterations can be demonstrated by double-contrast esophagrams if careful attention is paid during performance and interpretation of these studies in an appropriate clinical setting.
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