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Radiographic Diagnosis of Eosinophilic Esophagitis

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Eosinophilic Esophagitis

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

The diagnosis of eosinophilic esophagitis (EoE) continues to evolve as we gain a better understanding of this fascinating disease. EoE initially was diagnosed pathologically by a high number of intraepithelial eosinophils in the esophagus, but the diagnosis is now based on several histologic parameters in combination with key demographic, clinical, and endoscopic features. Despite numerous endoscopic studies on EoE, the role of barium esophagography in diagnosing this disease has received little attention in the gastroenterology literature. Lack of interest in esophagography is related to recognized advantages of endoscopy for directly visualizing the esophageal mucosa and obtaining biopsy specimens as well as the desire to avoid ionizing radiation in patients with dysphagia. We believe, however, that endoscopy and barium esophagography should be regarded as complementary rather than competitive techniques for the evaluation of patients with dysphagia and possible EoE. In such cases, the barium study provides a global examination that can be used not only to detect esophagitis or strictures, but also to assess swallowing function, esophageal motility, and the presence and degree of gastroesophageal reflux disease (GERD) in patients with other conditions masquerading as EoE based on the clinical presentation.

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Author information

Authors and Affiliations

  1. Department of Radiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    Marc S. Levine MD (Professor of Radiology and Advisory Dean, Chief of Gastrointestinal Radiology)

  2. Hospital of the University of Pennsylvania, Philadelphia, PA, USA

    Marc S. Levine MD (Professor of Radiology and Advisory Dean, Chief of Gastrointestinal Radiology)

  3. Department of Medicine, Mayo Clinic, 200 1st Street, S.W., Rochester, MN, 55905, USA

    David A. Katzka MD

Authors
  1. Marc S. Levine MD
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  2. David A. Katzka MD
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Corresponding author

Correspondence to David A. Katzka MD .

Editor information

Editors and Affiliations

  1. The Children’s Hospital of Philadelphia, Center for Pediatric Eosinophilic Disord, The Univeristy of Pennsylvania School of, 34th Street & Civic Center Blvd., Philadelphia, 19104, Pennsylvania, USA

    Chris A. Liacouras

  2. University Medical Center, Pediatric Gastroenterology and Nutrition, Greenville Hospital System, Patewood Drive 200, Greenville, 29615, South Carolina, USA

    Jonathan E. Markowitz

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Levine, M.S., Katzka, D.A. (2012). Radiographic Diagnosis of Eosinophilic Esophagitis. In: Liacouras, C., Markowitz, J. (eds) Eosinophilic Esophagitis. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-60761-515-6_12

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  • DOI: https://doi.org/10.1007/978-1-60761-515-6_12

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60761-514-9

  • Online ISBN: 978-1-60761-515-6

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