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  • 1
    Electronic Resource
    Electronic Resource
    Journal abstracts (1987)
    Springer
    Dysphagia 2 (1987), S. 123-124 
    Details
    ISSN: 1432-0460
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02408146
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Radiographic and manometric correlation in achalasia with apparent relaxation of the lower esophageal sphincter (1989)
    Springer
    Abdominal imaging 14 (1989), S. 1-5 
    Details
    ISSN: 1432-0509
    Keywords: Achalasia, radiography-manometry ; Esophagus, motility disorders
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We compared the clinical, radiographic, and manometric findings in 10 patients with atypical achalasia showing complete lower esophageal sphincter (LES) relaxation to 39 patients with classic achalasia (i.e., incomplete LES relaxation). Those with atypical achalasia were younger (46.1 vs 60.6 years), had dysphagia of shorter duration (18.7 vs 45.7 mos), had lost less weight (8.2 vs 21.5 lbs), and had less esophageal dilatation (2.8 vs 3.9 cm). However, the mean LES pressures (34.5 vs 37.7 mmHg) and the esophagogastric junction calibers (4.5 vs 4.8 mm) were similar. Radionuclide esophageal emptying studies were done in 15 patients (6 with atypical achalasia; 9 with classic achalasia) and were abnormal in all. Most patients in both groups (90 and 92%) responded well to pneumatic dilatation. We conclude that achalasia with apparent LES relaxation may represent an early form of this motor disorder and that the radiographic findings remain characteristic except for less dilatation of the esophagus.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01889144
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Prevalence of upper gastrointestinal disease in relation to age: Radiologic and clinical implications (1992)
    Springer
    Abdominal imaging 17 (1992), S. 199-201 
    Details
    ISSN: 1432-0509
    Keywords: Upper gastrointestinal diseases ; Endoscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Reports of 1126 endoscopies were reviewed to determine the age-related prevalence of upper gastrointestinal (UGI) diseases as a guide to radiologists performing UGI examinations. Results indicate that (1) there were positive findings in 78% of all endoscopic examinations, and thus most symptomatic patients can be expected to have at least one UGI abnormality; (2) many patients with UGI symptoms have two or more reportable disease processes; (3) the prevalence of serious or lifethreatening disease, such as cancer or large ulcers, rises steadily with age; and (4) after age 60, approximately 60% of symptomatic patients have a serious UGI disease. Based on these findings, radiologists should not hesitate to make the diagnosis of multiple abnormalities and should expect to diagnose at least one abnormality in most symptomatic patients having an UGI study. Also, because of the high prevalence of serious lesions in the elderly, endoscopy should be considered for the initial examination of an elderly patient if poor physical status would render the radiologic examination difficult or unreliable.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01888547
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Radiographic evaluation of the achalasic esophagus immediately following pneumatic dilatation (1984)
    Springer
    Abdominal imaging 9 (1984), S. 185-191 
    Details
    ISSN: 1432-0509
    Keywords: Achalasia, treatment ; Dilatation, pneumatic ; Radiographic evaluation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Sixteen patients with achalasia of the esophagus were treated by fluoroscopically guided pneumatic dilatation. All patients were examined radiographically immediately following dilatation. The caliber of the esophagogastric region increased from a pretreatment mean of 5.3 mm to 9.6 mm following dilatation. The margins of the dilated area remained smooth in 6 patients (38%) and became irregular in 10 (62%). Initial symptomatic improvement was found in 14 patients (88%) with a mean follow-up of 1.7 months. One (6%) perforation occurred, necessitating surgery. The radiographic appearance of the esophagogastric region following pneumatic dilatation, however, poorly predicted patient response.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01887832
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  • 5
    Electronic Resource
    Electronic Resource
    Predictive relationship of hiatal hernia to reflux esophagitis (1985)
    Springer
    Abdominal imaging 10 (1985), S. 317-320 
    Details
    ISSN: 1432-0509
    Keywords: Hiatal hernia ; Reflux esophagitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The relationship between hiatal hernia and reflux esophagitis was compared in 93 patients who underwent both radiographic and endoscopic examination of the esophagus. In 46 patients with a normal esophagus shown endoscopically, hiatal hernia was present in 59%, while 94% of 47 patients with reflux esophagitis had hiatal hernia. The positive and negative predictive values for hiatal hernia in diagnosing or excluding esophagitis were 62% and 86%, respectively. Extrapolation of these data and review of the literature suggest that much of the confusion concerning the relationship between hiatal hernia and reflux esophagitis is based on reports of populations with considerable variation in the prevalence of esophagitis and in which the radiographie criteria for diagnosing hiatal hernia have not been uniformly applied.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01893120
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Analysis of a multiphasic radiographic examination for detecting reflux esophagitis (1986)
    Springer
    Abdominal imaging 11 (1986), S. 1-6 
    Details
    ISSN: 1432-0509
    Keywords: Esophagus, radiography ; Esophagitis, reflux ; Esophagitis, endoscopie correlation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Radiographic and endoscopic findings were correlated in 46 normal patients and in 49 with reflux esophagitis to assess the efficacy of a multiphasic examination employing mucosal relief, full-column, and double-contrast techniques. Esophagitis was graded endoscopically as mild, moderate, or severe, and the quality and sensitivity of each technique and of the examination as a whole were determined. The radiographic specificity in the normal patients was 98%. The overall sensitivity was 65% for all grades of esophagitis, and 90% for the moderate and severe grades. Sensitivities of the individual techniques were: mucosal relief: 43%; full-column: 53%; double-contrast: 45%. These differences were not statistically significant. We conclude that a combination of radiographie techniques is needed to detect reflux esophagitis optimally.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02035022
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  • 7
    Electronic Resource
    Electronic Resource
    Radiographic evaluation of achalasia immediately after pneumatic dilatation with the Rigiflex dilator (1991)
    Springer
    Abdominal imaging 16 (1991), S. 279-282 
    Details
    ISSN: 1432-0509
    Keywords: Achalasia, treatment with pneumatic dilatation ; Esophagus, radiography ; Esophagus, perforation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Radiographic evaluation of the lower esophagus was done immediately after pneumatic dilatation using the Rigiflex dilator in 34 patients (24 men, 10 women; mean age, 55 years) with achalasia. The dilator was positioned across the esophagogastic junction using fluoroscopy and the balloon was inflated for 1 min. The esophagus was intubated and injected sequentially with water-soluble and barium contrast materials. Radiographic analysis included changes in the appearance of the caliber and contour of the esophagogastric junction, rate of esophageal emptying, and presence of complications. In 23 patients with predilatation esophagrams, the mean esophagogastric junction caliber increased from 4.7–7.6 mm following dilatation. The postdilatation esophagrams in 33 patients showed a smooth contour in 22 (67%) and immediate esophageal emptying in 26 (79%). Esophageal perforation occurred in one (3%) patient and intramural hematoma in one (3%). Clinical follow-up (mean, 7 months) was available in 29 patients and 23 (79%) had symptomatic improvement. Five of the six patients who did not improve clinically all had previous Heller myotomy, pneumatic dilatation, or both.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01887367
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  • 8
    Electronic Resource
    Electronic Resource
    Letter to the Editor (1994)
    Springer
    Abdominal imaging 19 (1994), S. 84-84 
    Details
    ISSN: 1432-0509
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02165872
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  • 9
    Electronic Resource
    Electronic Resource
    Efficacy of radiology of the esophagus for evaluation of dysphagia (1981)
    Springer
    Abdominal imaging 6 (1981), S. 109-110 
    Details
    ISSN: 1432-0509
    Keywords: Esophagus, abnormalities ; Dysphagia, diagnosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The efficacy of radiology in evaluating dysphagia was studied in 86 patients by comparison to endoscopic findings. In the 66 patients with endoscopic abnormalities radiology was correct in 54, for a sensitivity of 82%. Sensitivity of radiology improved to 95% if mild esophagitis was excluded. In the 20 patients with normal endoscopy, radiology was normal in 18 (90%). Thus radiology proved to be a reliable means of evaluating the esophagus in patients with dysphagia.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01890233
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    Paper (German National Licenses)
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  • 10
    Electronic Resource
    Electronic Resource
    Cowden's disease: A case report and literature review (1987)
    Springer
    Abdominal imaging 12 (1987), S. 325-329 
    Details
    ISSN: 1432-0509
    Keywords: Cowden's disease, diagnosis ; Gastrointestinal polyposis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cowden's disease, or multiple hamartoma syndrome, is an uncommon condition with characteristic mucocutaneous lesions associated with abnormalities of the breast, thyroid, and gastrointestinal tract. We describe a 51-year-old man with hyperplastic polyposis of the entire alimentary tract as the most prominent feature of this disease. We also present a review of 85 cases of this entity as reported in the English medical literature, and summarize the pertinent findings.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01885173
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