Sensitivity of single-contrast radiology in esophageal disease: a study of 240 patients with endoscopically verified abnormality.
Single-contrast radiology of the esophagus was correlated with endoscopy in 240 patients with the following endoscopically verified abnormalities: esophagitis 170, rings 28, malignancies 19, varices 9, miscellaneous 14. For all the abnormalities except mild esophagitis, the overall sensitivity of the radiology in these 240 patients was 92%. All 19 cancers were diagnosed radiologically, whereas 90% of moderate and severe esophagitis was detected. The single-contrast examination thus reliably identified clinically significant disease of the esophagus. Comparison of these results to recent reports employing double-contrast technique suggests that claims of superiority for the double-contrast esophagram over the single-contrast study are not supported.
D000328:Adult; D000368:Aged; D018288:Carcinoma, Small Cell / Q000175:diagnosis / Q000000981:diagnostic imaging; D003287:Contrast Media; D004935:Esophageal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging*; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000000981:diagnostic imaging; D004941:Esophagitis / Q000175:diagnosis / Q000000981:diagnostic imaging; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D006551:Hernia, Hiatal / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography
D003287:Contrast Media