Diagnostic Utility of CT and Fluoroscopic Esophagography for Suspected Esophageal Perforation in the Emergency Department

作者：Catherine J. Wei, Robin B. Levenson, Karen S. Lee · 发表于：American Journal of Roentgenology · 年份：2020 · DOI：10.2214/ajr.19.22166 · 被引用次数：57 · 研究领域：Esophageal and GI Pathology、Foreign Body Medical Cases、Trauma Management and Diagnosis

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.