A member asked:

Which is better test to dx small tear in esophagus due to impact? ct, mri, or barium swallow test?

A doctor has provided 1 answer

I prefer barium swal: I was trained to use barium swallow for esophageal tears. However, it is bad to use if the tear penetrates through full thickness of the wall. For this we may use a water soluble contrast. CT is an excellent tool for this but uses a lot of radiation. I would use this if there are complications to worry about or the initial swallow is non diagnostic. MRI is not good.

Answered 2/16/2015



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