The Usefulness of Esophagogram with Marshmallow Bolus in Patients with Esophageal-Related Symptoms.
10.3348/jkrs.1996.34.3.399
- Author:
Sang Wook YOON
1
;
Ki Whang KIM
;
Hyo Jin PARK
;
Eun Kyung KIM
;
Jeong Sik YU
;
Jung Kun SEO
;
Ryang KWON
;
Hyung Cheol SHIN
Author Information
1. Department of Diagnostic Radiology, Yonsei University College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Esophagus, abnormalities;
Esophagus, radiography
- MeSH:
Althaea*;
Chest Pain;
Deglutition Disorders;
Healthy Volunteers;
Humans;
Mass Screening
- From:Journal of the Korean Radiological Society
1996;34(3):399-404
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the usefulness of the esophagogram using marshmallow bolus in the evaluation of the causes of variable esophageal-related symptoms. MATERIALS AND METHODS: Esophagograms using marshmallow bolus were performed on 44 patients with esophageal-related symptoms and on ten normal volunteers. Video fluoroscopic studies were also made. Patients were classified into three groups according to their esophageal-related symptoms ; those with dysphagia, those with globus symptom, and those with chest pain. Abnormal findings on an esophagogram with marshmallow were graded into three categories ; mild, moderate, and severe. Provocation of the same symptom wasalso evaluated. Esophageal manometric studies were performed on 16 patients and those results were compared with the results obtained from the esophagogram using marshmallow bolus. RESULTS: The provocation rate of the same symptom was 33% in the first group, 47% in the second, and 24% in the third. The provocation rate was highest inthe second group. The provocation rate was also higher in patients with a severe degree of abnormality on anesophagogram using marshmallow bolus. Where there were abnormal findings, an esophagogram using marshmallow bolus showed a higher abnormality rate than did a conventional esophagogram. In cases showing abnormal findings on the esophageal manometric study, an esophagogram using marshmallow bolus showed a higher provocation rate and more severe abnormality than in cases showing normal findings on manometric study. CONCLUSION: An esophagogram using marshmallow bolus will a useful radiologic screening modality for the evaluation of patients with esophageal-related symptoms.
