Diagnostic Utility of CT and Fluoroscopic Esophagography for Suspected Esophageal Perforation in the Emergency Department
Catherine J. Wei, Robin B. Levenson, Karen Lee
Abstract
CT has a high NPV similar to that of fluoroscopic esophagography and has greater sensitivity than fluoroscopic esophagography for diagnosing suspected esophageal perforation. Fluoroscopic esophagrams do not provide additional information that changes clinical management beyond the information that CT provides. In ED patients with suspected esophageal perforation, CT with oral contrast material should be considered the initial imaging examination and can obviate fluoroscopic esophagography.
Topics & Concepts
MedicineEmergency departmentPerforationRadiologyFluoroscopyComputed tomographyGeneral surgeryPunchingMaterials scienceMetallurgyPsychiatryEsophageal and GI PathologyForeign Body Medical CasesTrauma Management and Diagnosis