Gastrointestinal Imaging PDF
Preview Gastrointestinal Imaging
Gastrointestinal Imaging Rotations in Radiology Published and Forthcoming Books in the Rotations in Radiology Series Pediatric Radiology Janet R. Reid, Angelisa Paladin, William Davros, Edward Y. Lee, and Caroline Carrico Cardiac Imaging Charles S. White, Linda B. Haramati, Joseph Jen-Sho Chen, and Jeffrey M. Levsky Gastrointestinal Imaging Angela D. Levy, Koenraad J. Mortele, and Benjamin M. Yeh Chest Imaging Melissa Rosado de Christensen, Sanjeev Bhalla, Gerald Abbott, and Santiago Martinez-Jiminez Emergency Radiology Hani H. Abujudeh Neuroradiology Zoran Rumboldt, Giulio Zuccoli, Clifford Eskey, Timothy Amrhein, and Benjamin Huang Rotations in Radiology Gastrointestinal Imaging Edited by Angela D. Levy, MD Professor of Radiology Department of Radiology Medstar Georgetown University Hospital Washington, DC Koenraad J. Mortele, MD Associate Professor of Radiology Harvard Medical School Department of Radiology Beth Israel Deaconess Medical Center Boston, Massachusetts Benjamin M. Yeh, MD Professor of Radiology UCSF Department of Radiology and Biomedical Imaging University of California, San Francisco San Francisco, California With Medical Illustrations by Heike Blum Medical Illustrator Müenster, Germany 1 1 Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offices in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Oxford is a registered trademark of Oxford University Press in the UK and certain other countries. Published in the United States of America by Oxford University Press 198 Madison Avenue, New York, NY 10016 © Oxford University Press 2015 Original Artwork © H. Blum. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by license, or under terms agreed with the appropriate reproduction rights organization. Inquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above. You must not circulate this work in any other form and you must impose this same condition on any acquirer. Library of Congress Cataloging-in-Publication Data Gastrointestinal imaging (Levy) Gastrointestinal imaging / edited by Angela D. Levy, Koenraad J. Mortele, Benjamin M. Yeh. p. ; cm.—(Rotations in radiology) Includes bibliographical references and index. ISBN 978–0–19–975942–2 (alk. paper) I. Levy, Angela D., editor. II. Mortele, Koenraad J., editor. III. Yeh, Benjamin, editor. IV. Title. V. Series: Rotations in radiology. [DNLM: 1. Digestive System Diseases—diagnosis. 2. Diagnosis, Differential. 3. Diagnostic Imaging—methods. 4. Diagnostic Techniques, Digestive System. WI 141] RC804.D52 616.3′0754—dc23 2014028627 This material is not intended to be, and should not be considered, a substitute for medical or other professional advice. Treatment for the conditions described in this material is highly dependent on the individual circumstances. And, while this material is designed to offer accurate information with respect to the subject matter covered and to be current as of the time it was written, research and knowledge about medical and health issues is constantly evolving and dose schedules for medications are being revised continually, with new side effects recognized and accounted for regularly. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulation. The publisher and the authors make no representations or warranties to readers, express or implied, as to the accuracy or completeness of this material. Without limiting the foregoing, the publisher and the authors make no representations or warranties as to the accuracy or efficacy of the drug dosages mentioned in the material. The authors and the publisher do not accept, and expressly disclaim, any responsibility for any liability, loss or risk that may be claimed or incurred as a consequence of the use and/or application of any of the contents of this material. 9 8 7 6 5 4 3 2 1 Printed in the United States of America on acid-free paper Dedication To my husband Asa, for his love and infinite support. —ADL To Dejana, for her infinite love and support, and my four beautiful children, Charlotte, Christophe, Mabel and Mila, who make me proud every day and remind me of what is truly important in life. —KJM To my wife, Dr. Z. Jane Wang, and our kids, who inspire us daily. —BMY Disclosures The views expressed in Section 14, Multisystem Disorders Services University of the Health Sciences, Department of and Syndromes, are those of the authors and do not neces- the Air Force, Navy or Army; Department of Defense or sarily reflect the official policy or position of the Uniformed the US Government. Contents Preface xv Section II: Stomach Contributors xvii 11. Normal Anatomy and Imaging Techniques of the Stomach 51 Section I: Pharynx and Esophagus Laura R. Carucci 12. Helicobacter Pylori and Peptic Ulcer 1. Normal Anatomy and Imaging Techniques Disease 55 of the Pharynx and Esophagus 3 Laura R. Carucci Marc S. Levine A. Helicobacter Pylori Gastritis 55 2. Pharyngeal Disorders 7 B. Gastric Ulcer 57 Marc S. Levine 13. Other Inflammatory Conditions of 3. Esophageal Motility Disorders 11 the Stomach 61 Marc S. Levine Laura R. Carucci A. Achalasia 11 A. Atrophic Gastritis 61 B. Diffuse Esophageal Spasm 13 B. Emphysematous Gastritis 63 C. Gastroesophageal Reflux C. Ménétrier’s Disease 65 Disease 15 14. Benign Tumors of the Stomach 68 4. Pharyngeal and Esophageal Laura R. Carucci A. Gastric Polyps 68 Diverticula 16 B. Gastrointestinal Stromal Tumor 70 Marc S. Levine C. Lipoma 73 A. Zenkers and Killian-Jamieson Diverticula 16 15. Malignant Tumors of the Stomach 76 B. T horacic Esophageal Laura R. Carucci Diverticula 18 A. Gastric Adenocarcinoma 76 B. Malignant Gastric Stromal Tumors 79 5. Infectious Esophagitis 21 C. Gastric Lymphoma 82 Marc S. Levine D. Gastric Metastases 84 A. Candida Esophagitis 21 B. Viral Esophagitis 22 16. Hernia and Volvulus 88 Laura R. Carucci 6. Noninfectious Esophagitis 26 A. Hernia 88 Marc S. Levine B. Volvulus 90 A. Reflux Esophagitis/Peptic Scarring/ Barrett’s Esophagus 26 17. Miscellaneous Disorders of the B. Drug-induced Esophagitis 30 Stomach 94 C. Eosinophilic Esophagitis 31 Laura R. Carucci A. Gastric Varices 94 7. Benign Esophageal Tumors 33 B. Obstruction of the Gastric Outlet 96 Marc S. Levine C. Gastric Diverticulum 99 A. Leiomyoma 33 D. Gastric Bezoar 101 B. Fibrovascular Polyp 34 18. Stomach Following Bariatric 8. Esophageal Squamous Cell Carcinoma and Surgery 103 Adenocarcinoma 36 Laura R. Carucci Marc S. Levine A. Roux-en-Y Gastric Bypass 103 9. Esophageal Perforation 40 B. Gastric Banding 106 Marc S. Levine C. Gastric Sleeve 108 10. Esophageal Webs, Rings, and Varices 44 19. Other Postsurgical Changes 111 Marc S. Levine Laura R. Carucci A. Schatzki Ring 44 A. Fundoplication 111 B. Esophageal Varices 46 B. Billroth/Gastrojejunostomy 114
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