caa a22 4500 606172017 CHVBK 20210128100726.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10140-015-1329-2 doi (NATIONALLICENCE)springer-10.1007/s10140-015-1329-2 Follow-up barium study after a negative water-soluble contrast examination for suspected esophageal leak: is it necessary? [Elektronische Daten] [Thomas Sanchez, Grant Holz, Michael Corwin, Robert Wood, Sandra Wootton-Gorges] The purpose of this study was to determine the value of follow-up barium esophogram in diagnosing esophageal injury or leak if the initial water-soluble contrast examination of the esophagus is normal. An institutional review board (IRB)-approved retrospective review of all pediatric patients less than 18years old referred to the radiology department for evaluation of esophageal injury or leak was performed for a 9-year period from 2005 to 2014. The majority of patients had unexplained pneumomediastinum, chest trauma (gunshot or puncture wound), or foreign body ingestion as the reason for the referral. Forty-nine patients (age range 10days to 17years) underwent an initial water-soluble esophogram immediately followed by a barium esophogram. Forty-six studies were negative on both water-soluble contrast and barium studies. Two studies were both positive on the initial water-soluble contrast and subsequent barium studies. A single study showed the esophageal leak only in the water-soluble study, with the follow-up barium exam being normal. The result of this study indicates that a single-contrast water-soluble esophogram alone is sensitive in the diagnosis of esophageal injury or leak. It has a 100% sensitivity and negative predictive value. A follow-up barium esophogram only increases the study time and radiation dose to the patient. American Society of Emergency Radiology, 2015 Water-soluble contrast nationallicence Barium nationallicence Esophogram nationallicence Esophageal injury nationallicence Esophageal leak nationallicence Sanchez Thomas Division of Pediatric Radiology, University of California, Davis Medical Center and UC Davis Children's Hospital, 4860 Y St. Suite 3100 ACC, 95817, Sacramento, CA, USA aut Holz Grant Department of Radiology, University of California, Davis, Medical Center, Sacramento, CA, USA aut Corwin Michael Department of Radiology, University of California, Davis, Medical Center, Sacramento, CA, USA aut Wood Robert University of California, San Diego, CA, USA aut Wootton-Gorges Sandra Division of Pediatric Radiology, University of California, Davis Medical Center and UC Davis Children's Hospital, 4860 Y St. Suite 3100 ACC, 95817, Sacramento, CA, USA aut Emergency Radiology Springer Berlin Heidelberg 22/5(2015-10-01), 539-542 1070-3004 22:5<539 2015 22 10140 https://doi.org/10.1007/s10140-015-1329-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-015-1329-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sanchez Thomas Division of Pediatric Radiology, University of California, Davis Medical Center and UC Davis Children's Hospital, 4860 Y St. Suite 3100 ACC, 95817, Sacramento, CA, USA aut NATIONALLICENCE 700 1- Holz Grant Department of Radiology, University of California, Davis, Medical Center, Sacramento, CA, USA aut NATIONALLICENCE 700 1- Corwin Michael Department of Radiology, University of California, Davis, Medical Center, Sacramento, CA, USA aut NATIONALLICENCE 700 1- Wood Robert University of California, San Diego, CA, USA aut NATIONALLICENCE 700 1- Wootton-Gorges Sandra Division of Pediatric Radiology, University of California, Davis Medical Center and UC Davis Children's Hospital, 4860 Y St. Suite 3100 ACC, 95817, Sacramento, CA, USA aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/5(2015-10-01), 539-542 1070-3004 22:5<539 2015 22 10140