Barium swallow. Srinivas Rao Khorfakkhan hospital
- 1. SRINIVAS RAO Unison - Radiology Department Khorfakkan Hospital
- 2. BARIUM SWALLOW • It is a Medical Imaging Procedure used to examine the Upper • Gastro intestinal Tract, which include the Oesophagus and to • Lesser extent the Stomach. The Contrast used is Barium Sulphate.
- 3. Anatomy The Oesophagus begins at the upper Oesophageal sphincter at the level of C6 and ends at lower Oesophageal sphincter at thoracic eleven and is approx. 25 cm in length.
- 4. Constrictions • Superiorly : Level of Cricoid Cartilage, Junction with Pharynx • Middle : Crossed by Aorta and left main Bronchi • Inferiorly : Diaphragmatic Sphincter
- 5. ANATOMY
- 6. Anatomy
- 7. SPHINCTERS • Two high pressure zones prevent the backflow of food • Upper Esophageal Sphincter • Lower Esophageal Sphincter • It is located at the upper and lower end of Oesophagus.
- 8. SPHINCTERS
- 9. Anatomy
- 10. Anatomy
- 11. Esophagus
- 12. Anatomy
- 13. CONTRAST • TYPES OF CONTRAST STUDY • 1. Single Contrast study • 2. Double contrast study
- 14. CONTRAST USED • 100% Barium Sulphate paste • 80% Barium Sulphate suspension • 30% Barium Sulphate suspension for High K.V Technique • 200 – 250 % High Density, low viscosity for Double contrast studies.
- 15. INDICATIONS • Dysphagia • Heart burn , Retrosternal pain, regurgitation • Hiatus Hernia • Reflux Esophagitis • Stricture formation • Esophageal carcinoma • Motility disorder like • Achalasia • Diffuse esophageal spasms • And other abnormalities like Zenkers diverticulum cricoid webs etc.
- 16. CONTRA- INDICATIONS • Suspected leakage from esophagus into the mediastinum or • pleura and peritoneal cavities. • Trachea- esophageal fistula.
- 18. PATIENT PREPARATION • NPO prior to the procedure. • Ensure that no contra indication to the contrast agent. • Check pregnancy status for female of child bearing age. • Procedure should be explained to the patient before under • Going the procedure and the duration the exam may take. • Any other medical history needed.
- 19. Radiographic Views • VIEWS OR PROJECTIONS • A.P Scout • Lateral • Right Anterior Oblique (RAO) • Soft Tissue Neck – A.P & LAT • Neck – AP & Lateral • Thorax –( RAO)
- 23. Barium Swallow
- 25. Critique criteria: Right Anterior Oblique, Lateral Oblique's The RAO should demonstrate the entire barium filled Esophagus. Like the RAO stomach , which is the single best projection, the Right anterior oblique is also best for the esophagus. The heart provides a homogeneous back ground to contrast it Against and the distal esophagus traversing the esophageal Hiatus is laid out in profile.
- 26. RAO- LPO
- 28. A.P Projection • Erect • Barium filled • cup
- 29. LATERAL
- 32. Barium swallow
- 33. Barium swallow
- 34. Barium Swallow
- 35. Achalasia
- 36. Barium Swallow
- 37. Hiatus Hernia
- 38. Achalasia
- 39. Double contrast
- 40. Fluoroscopy Room
- 41. Contrast Media
- 42. THANK YOU