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A gastroenterologist's perspective on the role of barium esophagography in gastroesophageal reflux disease

机译:胃肠学家对钡食管中的作用的看法在胃食管反流疾病中的作用

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摘要

Although endoscopy is a sophisticated technique for evaluating patients with gastroesophageal reflux disease (GERD), the single diagnostic test that enables the most comprehensive assessment for GERD is a well-performed video esophagram. Not only does the barium study permit assessment of morphologic abnormalities in the pharynx and esophagus, but also oropharyngeal swallowing function, esophageal motility, and gastroesophageal reflux. These factors are especially important for detection of anatomic findings such as strictures and hernias, for assessment of esophageal motility before and after fundoplication, and for excluding conditions that mimic GERD. Thus, esophagography and esophagoscopy are complementary procedures that provide a more comprehensive and therapeutically actionable plan for patients with GERD than either diagnostic test alone.
机译:虽然内窥镜检查是一种复杂的技术,用于评估胃食管反流疾病(GERD)的患者,单一诊断测试,使得为GERD提供最全面的评估是一个良好的视频eSophagram。 钡研究不仅允许评估咽部和食道的形态异常,还可以进行口咽吞咽功能,食管运动和胃食管反流。 这些因素对于检测解剖结果尤为重要,诸如狭窄和疝气的解剖结果,用于评估FoodoPlication之前和之后的食管动力,以及除了模拟GERD的条件。 因此,食管摄影和食管镜检查是互补的程序,为单独的诊断试验提供了GERD患者的更全面和治疗上可操作的计划。

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