Doctor, I have a question, in which case is X-ray of the esophagus indicated? Thanks for the advice doctor.

Esophagography is an imaging method that helps doctors get a more specific view of the digestive tract components behind the oropharynx and mainly focuses on the esophagus. The esophagus is a part of the digestive tract that starts behind the tongue in the pharynx and extends to the stomach.

Nowadays, barium esophagography is limitedly indicated because the effectiveness of endoscopy combined with biopsy is quite reliable. Other imaging diagnostic techniques such as ultrasound, computed tomography, and magnetic resonance imaging are also effective in diagnosing diseases?

Zenker's diverticulum is an esophageal diverticulum that occurs in the elderly and contributes to morbidity due to dysphagia and aspiration pneumonia. Open surgery and rigid endoscopy were previously the mainstay of treatment, however, with a favorable safety profile and similar success rates, flexible endoscopy has emerged as a new treatment modality for Zenker's diverticulum. This review aims to highlight endoscopic techniques and tools in the management of Zenker's diverticulum.

Esophageal perforation is a serious medical problem with a high risk of death if not detected and treated promptly. Currently, diagnosing esophageal perforation by X-ray is the optimal method chosen by doctors.