PowerPoint Presentation
PRESENTED BYIFEDIORAH OLUCHUKWU DEPARTMENT OF RADIOLOGY, NNAMDI
AZIKIWE UNIVERSITY TEACHING HOSPITAL NNEWI,ANAMBRA STATE
14th JULY 2015.
A SEMINAR PRESENTATION
On
BARIUM SWALLOW
OUTLINEINTRODUCTIONGROSS ANATOMYRADIOGRAPHIC ANATOMYINDICATIONS
/ CONTRAINDICATIONSEQUIPMENTS AND ACCESSORIESPATIENT
PREPARATIONMAIN VIEWSADDITIONAL VIEWSPOSITION/TECHINQUERADIATION
PROTECTIONCOMMON FINDING/PATHOLOGIESCONCLUIONREFERENCES
INTRODUCTIONBarium swallow is the examination of upper GIT(John
Hopkins Medicine Health Library) Upper GIT pharynx and esophagusIts
done under fluoroscopy
BRIFE ANATOMY
g
RADIOGRAPHIC ANATOMY
indicationshigh or low dysphagiagastro-esophageal reflux disease
(GORD)assessment of hiatus herniageneralised epigastric
painTumorspersistent vomitingassessment of fistula Structural
problems. Such as diverticula, strictures, or polyps
(growths)Esophageal varices (enlarged veins)
contraindicationssuspected perforationsuspected
tracheo-oesophageal or broncho-oesophageal fistulapost-operative
assessment for leakageAdhesive small bowel obstruction
Adverse effects Constipation Endotoxic shock Aspiration
pneumonia
baert. et al 2009
Equipment / accessoriesFluoroscopy machineA sachet of barium
sulphateSterilized Cup and spoonWarm waterSterilized gloves
Radiographic markers Cassette
eq
NAUTH, RADIOLOGY DEPARTMENTI.D.IM. CENTRO TAC srl 2013
Patient preparationPhysical preparationPsychological
preparation
Main/basic viewsAPLATERAL
Additional viewRt or Lt POSTERIOR OBLIQUE
.
Dr.Shaik Farid Aug 10, 2009
Dr.Shaik Farid Aug 10, 2009
Positioning/technique
AP POSITIONINGLATERAL POSITIONINGRadiopedia 2013
lT oblique
Radiopedia 2013
Technique contd
baert. et al 2009
Radiation protectionLead apronGonad shieldGood collimination
Common findings/pathology
conclusionBarium swallow is still the best radiographic
investigation of the upper GIT with the use of liquid suspension
barium sulphate contrast, but contra-indicated in conditions like
suspected leakage, perforation and tracheo-esophageal fistula.
Water soluble contrast is best recommended and this investigation
is best done under fluoroscopy.
REFeRENCES
Anatomy for Diagnostic Imaging. Saunders Ltd. ISBN:0702029718.
Read it at Google Books.Branco BC, Barmparas G, Schnriger B, et al.
Systematic review and meta-analysis of the diagnostic and
therapeutic role of water-soluble contrast agent in adhesive small
bowel obstruction. Br J Surg 2010;
97:470478(http://www.ajronline.org/doi/full/10.2214/AJR.12.8979)Baker,
ME; Einstein, DM (Mar 2014). "Barium esophagram: does it have a
role in gastroesophageal reflux disease?". Gastroenterology clinics
of North America 43 (1): 4768. doi:10.1016/j.gtc.2013.11.008. PMID
24503359.Baert, Henrik S. Thomsen ; Judith A.W. Webb (ed.). With
contributions by P. Aspelin ... Foreword by A.L. (2009). Contrast
media : safety issues and ESUR guidelines ; with 24 tables (2.,
rev. ed.). Berlin: Springer.Dr. helen bungay; oxford radcliffe
hospital NHS trust oxford; barium swallow examination, version
3,may 2010; reviewed may 2013.Dr.Shaik Farid Aug 10, 2009 barium
swallow studyEngin, G; Korman, U (Sep 2011). "Gastrointestinal
lymphoma: a spectrum of fluoroscopic and CT findings.". Diagnostic
and interventional radiology (Ankara, Turkey) 17 (3): 25565.
doi:10.4261/1305-3825.dir.3332-10.3. PMID 20725903.John Hopkins
Medicine Health Library(http://www.hopkinsmedicine.org)Levine MS,
Rubesin SE. Radiologic investigation of dysphagia. AJR Am J
Roentgenol. 1990;154 (6): 1157-63. doi:10.2214/ajr.154.6.2110721 -
Pubmed citation.Mullan CP, Siewert B, Eisenberg RL. Small bowel
obstruction. AJR 2012;
198:[web]W105W117(http://www.ajronline.org/doi/full/10.2214/AJR.12.8979)
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