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上消化道腐蚀性损伤:影像学特征的图片综述

Corrosive injuries of the upper gastrointestinal tract: A pictorial review of the imaging features.

作者信息

Kamat Rohan, Gupta Pankaj, Reddy Yalaka Rami, Kochhar Suman, Nagi Birinder, Kochhar Rakesh

机构信息

Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Imaging and Research (PGIMER), Chandigarh, India.

Department of Gastroenterology, Postgraduate Institute of Medical Imaging and Research (PGIMER), Chandigarh, India.

出版信息

Indian J Radiol Imaging. 2019 Jan-Mar;29(1):6-13. doi: 10.4103/ijri.IJRI_349_18.

Abstract

Corrosive ingestion is a common form of poisoning. Corrosive agents cause severe damage to the gastrointestinal (GI) tract. The most severe forms of injury can lead to mortality; however, the major concern with this type of injury is life-long morbidity. Upper GI endoscopy is the test of choice for assessing severity in the acute phase of the disease. The long-term management is based on the site, length, number, location, and tightness of the stricture. This information is best provided by the barium contrast studies. In this pictorial review, a spectrum of findings in patients with corrosive injuries of the esophagus and stomach is illustrated. The role of various imaging modalities including barium studies, endoscopic ultrasound, computed tomography, and magnetic resonance imaging is discussed.

摘要

腐蚀性物质摄入是一种常见的中毒形式。腐蚀性物质会对胃肠道造成严重损害。最严重的损伤形式可能导致死亡;然而,这类损伤最主要的问题是会造成终身残疾。上消化道内镜检查是评估疾病急性期严重程度的首选检查方法。长期治疗基于狭窄的部位、长度、数量、位置和狭窄程度。钡剂造影检查能最好地提供这些信息。在这篇影像综述中,展示了一系列食管和胃腐蚀性损伤患者的检查结果。讨论了包括钡剂造影、内镜超声、计算机断层扫描和磁共振成像在内的各种成像方式的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b19/6467036/f1bba7d85648/IJRI-29-6-g001.jpg

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