Comparative analysis chest CT 3D reconstruction and esophagus barium swallow in esophagus foreign body.
- Author:
Kai XU
1
;
Hanqi CHU
;
Xiaowen HUANG
;
Yonghua CUI
Author Information
1. Department of Otolaryngology Head and Neck Surgery, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, 430030, China. kg_8205@yahoo.com.cn
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Barium Sulfate;
Child;
Child, Preschool;
Esophagus;
diagnostic imaging;
Female;
Foreign Bodies;
diagnostic imaging;
Humans;
Image Processing, Computer-Assisted;
Imaging, Three-Dimensional;
Infant;
Male;
Middle Aged;
Retrospective Studies;
Tomography, X-Ray Computed;
methods;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(12):549-550
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the diagnosis and therapeutic between chest computed tomography three-dimensional reconstruction and esophagus barium swallow in esophagus foreign body.
METHOD:retrospective analyze one hundred and thirty six patients who suffered from esophagus foreign body in our hospital, 97 cases using esophagus barium swallow, 17 cases using chest computed tomography three-dimensional reconstruction, 15 cases using both.
RESULT:The patients who showed positive of esophagus foreign body in esophagus barium swallow or chest computed tomography three-dimensional reconstruction, 91.8% (89/97) cases or 88.2% (15/17) cases found esophagus foreign bodies finally. All cases successfully took out the esophagus foreign bodies only through one operation which used chest computed tomography three-dimensional reconstruction as primary examination, while only 91.0% for those used esophagus barium swallow as primary examination.
CONCLUSION:Both chest computed tomography three-dimensional reconstruction and esophagus barium swallow showed high diagnostic efficiency on esophagus foreign body. Chest computed tomography three-dimensional reconstruction had advantages in patients with one of following conditions: (1) esophagus foreign body located in the middle of the esophagus, especially complicated with esophagus perforation; (2) with fever, high white blood count, presence of abscess surrounding the esophagus was suspected; (3) with dyspnea; (4) with a history of esophagus foreign body longer than 5 days; (5) younger than 6 years old.
