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  • Title: [Discrepant findings between esophagoscopical and x-ray examination on the search for varicose veins of the esophagus (author's transl)].
    Author: Seckfort H, Crasemann K, Hennig H.
    Journal: Med Klin; 1975 Apr 11; 70(15):658-63. PubMed ID: 124812.
    Abstract:
    In a comparising study of 191 liver-patients, who were laparoscopical and most of them histological examined, the results of registrated varicose veins of the esophagus by x-ray and fiber-esophagoscopical examination were compared. Between x-ray and esophagoscopical examination in our material was a discrepancy in 29,3% of the cases (suspect findings were counted positive). The question was posed, if the premedication with spasmolytical substances and tranquillizers gives the wellknown advantages for the esophagoscopical examination compared with the x-ray examination by relaxation of the esophaguswall and thereby combined with a better visuability of the varicose veins. In the proposed analysis showed still 19,9% of the cases a positive result by esophagoscopical examination by negative x-ray finding, and there was only in 9,4% of the cases a positive finding by x-ray examination by simultaneous negative esophagoscopical result. Other comparising studies by equal pharmacological conditions (premedication!) are urgently necessary to get better results of examination and perhaps to eliminate or at least reduce the discrepancies between endoscopical and x-ray examination.
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