Levine Marc S, Rubesin Stephen E
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Dysphagia. 2017 Feb;32(1):55-72. doi: 10.1007/s00455-016-9774-y. Epub 2017 Jan 18.
This article reviews the history of the barium swallow from its early role in radiology to its current status as an important diagnostic test in modern radiology practice. Though a variety of diagnostic procedures can be performed to evaluate patients with dysphagia or other pharyngeal or esophageal symptoms, the barium study has evolved into a readily available, non-invasive, and cost-effective technique that can facilitate the selection of additional diagnostic tests and guide decisions about medical, endoscopic, or surgical management. This article focuses on the evolution of fluoroscopic equipment, radiography, and contrast media for evaluating the pharynx and esophagus, the importance of understanding pharyngoesophageal relationships, and major advances that have occurred in the radiologic diagnosis of select esophageal diseases, including gastroesophageal reflux disease, infectious esophagitis, eosinophilic esophagitis, esophageal carcinoma, and esophageal motility disorders.
本文回顾了吞咽造影的历史，从其在放射学中的早期作用到其在现代放射学实践中作为一项重要诊断测试的当前地位。尽管可以进行多种诊断程序来评估吞咽困难或其他咽部或食管症状的患者，但钡剂检查已发展成为一种易于获得、非侵入性且具有成本效益的技术，它可以有助于选择其他诊断测试，并指导有关药物、内镜或手术治疗的决策。本文重点关注用于评估咽部和食管的荧光透视设备、放射摄影和造影剂的发展，理解咽食管关系的重要性，以及在某些食管疾病的放射学诊断方面取得的重大进展，这些疾病包括胃食管反流病、感染性食管炎、嗜酸性粒细胞性食管炎、食管癌和食管动力障碍。
