Hohenberg G, Deimer E, Wickenhauser J
Rontgenblatter. 1978 Jun;31(6):342-50.
Various diseases which can be associated with hemorrhages are located in the esophagogastral transitional region. Emergency endoscopy can contribute significantly to the detection of an acute source of hemorrhage. Roentgenologic examination can make significant contributions toward the further clarification of acute and especially chronic hemorrhages, by assessment of the topographic, morphologic, functional and angiologic conditions. The relevant diseases in this respect are discussed with regard to clinical pattern and significance of the roentgenologic and endoscopic methods of examination, namely, reflux disease, hiatal hernia, cardial tumors, esophageal varices and Mallory-Weiss syndrome. Differential diagnostic problems are demonstrated by means of relevant cases. Brief reference is also made to "operated cardia" and the associated possibility of hemorrhage.
各种可能与出血相关的疾病位于食管胃过渡区。急诊内镜检查对急性出血源的检测有显著帮助。通过评估地形、形态、功能和血管状况,放射学检查对进一步明确急性尤其是慢性出血有重要作用。本文就反流性疾病、食管裂孔疝、贲门肿瘤、食管静脉曲张和马洛里-魏斯综合征等相关疾病,讨论了放射学和内镜检查方法的临床模式及意义。通过相关病例展示了鉴别诊断问题。还简要提及了“手术贲门”及相关的出血可能性。