Gastrointestinal by Frank H. Miller, Stephen E. Rubesin
By Frank H. Miller, Stephen E. Rubesin
Useful and clinically centred, this Gastrointestinal name within the new educating documents sequence offers you 2 hundred attention-grabbing and well-presented situations and approximately six hundred top quality photos that can assist you higher diagnose any ailment of the chest. specialists within the box, Drs. Miller and Rubesin, use a logical association all through, making referencing tough diagnoses more uncomplicated than ever ahead of. unique discussions of cutting-edge modalities and applied sciences preserve you modern, and tough diagnostic questions probe your wisdom of the cloth.
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The chance of Barrett esophagus complicating a benign stricture or being present at the inferior margin of a benign stricture is 20%–40%. Any stricture with a plaquelike contour or irregular mucosa must be evaluated by endoscopic biopsy to exclude an infiltrating cancer, especially adenocarcinoma arising in Barrett esophagus. Figure 1. Spot radiograph from double-contrast upper GI series shows a 4 cm in length, tapered narrowing of the lower esophagus (narrowing between arrows). Sacculations are seen en face as sharp-edged hemispheric structures filled with shallow, meniscus-shaped barium pools (arrowheads).
Human papillomavirus has been implicated as a cause of papillomas because the virus is found in some tumors by immunoperoxidase staining. Chronic gastroesophageal reflux also has been suggested as the cause of papillomas. These tumors also have been induced by nitrosamines in mice. Characteristic Clinical Features Patients with papillomatosis are frequently asymptomatic and are undergoing imaging for other reasons. 48 n n Candida esophagitis Solitary papillomas The polyps of esophageal papillomatosis can be confused with the plaques of Candida esophagitis.
CT can help the diagnosis by showing a mass in the region of the gastric cardia (see Fig. 2). Differential Diagnosis n Achalasia Pseudoachalasia can be differentiated from achalasia by clinical findings and by asymmetry, abrupt transitions, mucosal nodularity, and associated mass and ulceration in the former. , cancer). Endoscopy and biopsy may be required for the diagnosis. Diagnosis Gastric Pseudoachalasia Suggested Readings Horton KM, Fishman EK: Current role of CT in imaging of the stomach.