Esophageal Disease and Testing

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ISBN: 9780824728427 | 0824728424
Cover: Hardcover
Copyright: 8/23/2005

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"Promoting an improved understanding of the pathophysiology of esophageal diseases, this comprehensive guide reviews the use and interpretation of these tests and procedures for the investigation of esophageal anatomy and function ... studies imaging and endoscopic methods to detect superficial lesions, Barrett's esophagus and early stages of cancer ... imparts practical knowledge on the identification and effective management of esophageal disease."--BOOK JACKET.

Preface

Radiology of the Esophagus

(34)

Introduction

(1)

Technique

(2)

General Comments

(1)

Motion Recording

(1)

Large Image Intensifier

(1)

Examination of the Stomach and Duodenum

(1)

Exam Details

(2)

Normal Appearance and Variants

(5)

Normal Variants

(2)

Normal Function

(1)

Hiatal Hernias

(4)

GERD

(5)

Segmental Narrowing

(4)

Motility Disorders

(7)

Achalasia

(7)

Postoperative Imaging

(6)

References

(2)

Esophageal Endoscopy

(12)

Endoscopy

(11)

Specific Indications

(1)

Normal Anatomy

(1)

Biopsies

(3)

Glycogenic Acanthosis

(5)

References

(1)

Esophagitis: Endoscopic Grading

(1)

References

(1)

Endoscopic Ultrasonography

(6)

Instrumentation

(1)

Uses

(2)

Other Uses

(1)

Carcinoma of the Esophagus and Esophagogastric Junction

(3)

Clinical Correlation

(1)

References

(2)

Esophageal Manometry

(92)

Indications for Esophageal Manometry

(1)

Esophageal Function Laboratory

(1)

Motility Laboratory Equipment

(1)

Patient Preparation and Passage of the Manometry Catheter

(5)

Patient Preparation

(1)

Manometry Catheter Insertion

(2)

Special Situations

(1)

Achalasia

(1)

Hiatal Hernia

(1)

Paraesophageal Hernia/Intrathoracic Stomach

(1)

Zenker Diverticulum

(1)

Epiphrenic and Mid-Esophageal Diverticulum

(1)

Passage and Position of Catheters for Ambulatory and pH Studies

(1)

Classification of Esophageal Manometric Abnormalities After Spechler and Castell

(1)

Barrier to Reflux: The Physiological Basis for Surgical Antireflux Therapy

(9)

History of Surgical Antireflux Therapy

(2)

Physiology of the Gastroesophageal Barrier

(4)

Causes and Consequences of the Failure of the Gastroesophageal Barrier

(2)

References

(1)

Lower Esophageal Sphincter

(3)

Standard Stationary Pull-Through Technique

(1)

Rapid Pull-Through Technique

(1)

Reproducibility of the Rapid Pull-Through Method

(1)

Motorized Pull-Through Method

(1)

Dent Sleeve

(1)

Measurement of the LES

(2)

References

(1)

Slow Motorized Pull-Through: An Improved Technique to Evaluate the LES

(5)

References

(2)

LES Relaxation

(2)

References

(1)

Transient Lower Esophageal Sphincter Relaxation

(1)

References

(1)

The Mechanically Defective LES

(1)

Hypertensive Lower Esophageal Sphincter

(2)

HLES with a Pressurized Esophagus

(1)

LES in Achalasia

(1)

References

(1)

Crural Pattern

(1)

Reference

(1)

Hiatal Hernia

(1)

Type I Hernia

(1)

References

(1)

Sliding Hiatal Hernia

(4)

Cartoon Description of the Evolution of a Sliding Hiatal Hernia

(1)

References

(1)

Motility Records Demonstrating Different Phases in the Development of a Sliding Hiatal Hernia

(1)

Different Motility Patterns of Sliding Hiatal Hernias

(1)

Reference

(1)

Double Respiratory Reversal

(1)

Intrathoracic Stomach

(1)

The Plateau Pressure

(1)

Reference

(1)

Esophageal Body

(1)

Normal Swallow Responses

(1)

References

(1)

Deglutitive Inhibition

(2)

References

(1)

Achalasia

(1)

Absence of Peristalsis is the Most Important Diagnostic Feature

(1)

Atypical Achalasia

(1)

Reference

(1)

Chagas' Disease

(2)

Diffuse (Distal) Esophageal Spasm

(1)

References

100

(1)

Hypercontractile (Nutcracker Esophagus)

100

(2)

References

102

(1)

Vascular Artifacts

102

(1)

Dysphagia Lusoria (From Latin Lusus Naturae: A Sport of Nature)

103

(1)

References

104

(1)

Ramp Intrabolus Pressure

104

(2)

References

106

(1)

Scleroderma of the Esophagus [Progressive Systemic Sclerosis (PSS)]

106

(1)

Reference

107

(1)

Mixed Connective Tissue Disease

107

(1)

Polymyositis and Dermatomyositis

107

(1)

References

107

(1)

Ineffective Esophageal Motility (IEM)

107

(2)

References

109

(1)

Nonspecific Esophageal Motor Disorder (NSEMD)

109

(1)

Cricopharyngeal Sphincter

110

(8)

Background

110

(1)

Proximal PES Assessment

111

(1)

Distal PES Including the Cricopharyngeal Muscle

111

(1)

Outflow Resistance and ``Compliance''

112

(1)

Normal Features of Cricopharyngeal Sphincter Manometry

112

(4)

Effects of a Myotomy

116

(1)

Normal Values

117

(1)

Advantages of Closely Spaced Water-Perfused Technique

117

(1)

Disadvantages

117

(1)

References

118

(1)

Evaluation of Recurrent Symptoms After Antireflux Surgery

118

(1)

References

119

(1)

Nissen Fundoplication Too Tight

119

(2)

Post Nissen Fundoplication: Recurrent Hernia with Intact Fundoplication

121

(1)

Post Nissen Fundoplication: Nutcracker Esophagus

122

(1)

Reference

122

(1)

Unusual Patterns

122

(9)

Achalasia with Hiatal Hernia

122

(1)

HLES and Nutcracker Esophagus

123

(2)

Hiatal Hernia with a HLES

125

(1)

End-Stage GERD

125

(1)

HLES with Pressurized Esophagus

126

(3)

Epiphrenic Diverticulum

129

(2)

Reference

131

(1)

Ambulatory Motility

131

(14)

Normal Patterns

132

(1)

Gastroesophageal Reflux Disease

133

(2)

Hypertensive LES

135

(1)

Achalasia

136

(1)

Reference

136

(3)

Diffuse Esophageal Spasm (DES)

139

(3)

Cough

142

(3)

Ambulatory pH Monitoring

145

(14)

Ambulatory pH Monitoring: Historical Milestones

145

(1)

References

145

(1)

Equipment

146

(1)

Electrodes

146

(1)

Recording Systems

146

(1)

Calibration

146

(1)

Patient Instructions

146

(1)

pH Test Diet

147

(1)

Scoring Systems

147

(3)

References

147

(1)

Patterns of Esophageal Acid Exposure to the Esophagus

148

(2)

Use of a Double pH Probe

150

(1)

Postprandial Gastroesophageal Reflux

150

(5)

Reference

155

(1)

Catheter-Free Ambulatory pH Monitoring: Historical Milestones

155

(1)

References

155

(1)

``Bravo™'' Probe (Medtronic, Inc.)

155

(4)

Equipment

155

(1)

Probe Insertion

156

(1)

Patient Instructions

157

(1)

Scoring System

157

(2)

Bilitec Monitoring

159

(8)

Spectrophotometry Apparatus

159

(1)

References

159

(1)

Patient Instructions

160

(3)

Foods that Can Be Eaten for the Bilitec 2000 Study

160

(3)

Normal Values for Esophageal Exposure to Bilirubin (35 Healthy Volunteers)

163

(1)

Patterns of Combined Esophageal and Gastric Bilitec Recording

164

(3)

References

165

(2)

Esophageal Impedance

167

(14)

Esophageal Impedance (Impedancometry)

167

(8)

Clinical Uses

167

(1)

Catheter Design

167

(1)

EFT Protocol

168

(4)

Bolus Clearance Patterns

172

(1)

Data Acquisition

173

(2)

Bolus Transport

175

(3)

Normal Values

175

(3)

Animated Display of Swallow Events

178

(3)

References

179

(2)

Index

181

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Esophageal Disease and Testing

Summary

Table of Contents

Supplemental Materials