Use of a new cytology balloon for diagnosis of symptomatic esophageal disease in acquired immunodeficiency syndrome
Autor: | Robert E. Schoen, Gerard Siciliano, Eric Schwartz, Mark Surland, Mary S. Chacho, Lawrence J. Brandt, Eugene Coman |
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Rok vydání: | 1993 |
Předmět: |
Acquired Immunodeficiency Syndrome
medicine.medical_specialty medicine.diagnostic_test Esophageal disease business.industry Cytodiagnosis Gastroenterology medicine.disease Esophageal candidiasis Fungal Esophagitis Catheterization Endoscopy Surgery Immunopathology Cytology Biopsy medicine Esophagitis Humans Radiology Nuclear Medicine and imaging business |
Zdroj: | Gastrointestinal Endoscopy. 39:559-561 |
ISSN: | 0016-5107 |
DOI: | 10.1016/s0016-5107(93)70173-x |
Popis: | Forty percent to 50% of patients with acquired immunodeficiency syndrome (AIDS) have esophageal symptoms during the course of disease.l-3 Infectious esophagitis, most often caused by Candida, is common in such individuals, and upper tract endoscopy with biopsy and directed cytology is usually required for complete and definitive diagnosis.4, 5 Blind esophageal brushing has been proposed as an alternative to these relatively labor-intensive, time-consuming, and expensive procedures, and studies performed using a modified obturator-tipped cytology brush,6 a sheathed cytology brush passed through a nasogastric tube,7 and a double-sheathed transnasal cytology brush.8 Cytologic brushings are superior to endoscopic biopsy in diagnosing fungal esophagitis,3, 5 and blind brushings yielded a diagnosis of esophageal candidiasis with similar success to that of endoscopic-directed cytology.5, 7, 8 |
Databáze: | OpenAIRE |
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