Levine Marc S, Rubesin Stephen E, Laufer Igor
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Clin Gastroenterol Hepatol. 2008 Jan;6(1):11-25. doi: 10.1016/j.cgh.2007.10.029.
Although a variety of diagnostic procedures are often performed on patients with pharyngeal or esophageal symptoms, barium esophagography is a noninvasive, inexpensive, and readily available test that can simultaneously evaluate swallowing function, esophageal motility, gastroesophageal reflux, and a host of structural abnormalities in the pharynx and esophagus. This article reviews the role of barium esophagography for assessing swallowing function, morphologic abnormalities of the pharynx (diverticula, webs, and carcinoma), esophageal motility disorders (achalasia and diffuse esophageal spasm), and morphologic abnormalities of the esophagus (reflux esophagitis, Barrett's esophagus, infectious esophagitis, drug-induced esophagitis, eosinophilic esophagitis, Schatzki's ring, and esophageal carcinoma).
尽管对于有咽部或食管症状的患者通常会进行多种诊断程序，但食管钡餐造影是一种无创、廉价且易于获得的检查，它可以同时评估吞咽功能、食管动力、胃食管反流以及咽部和食管的一系列结构异常。本文综述了食管钡餐造影在评估吞咽功能、咽部形态异常（憩室、蹼和癌）、食管动力障碍（贲门失弛缓症和弥漫性食管痉挛）以及食管形态异常（反流性食管炎、巴雷特食管、感染性食管炎、药物性食管炎、嗜酸性粒细胞性食管炎、沙茨基环和食管癌）方面的作用。
