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  • Barium Swallow (Esophagram) :: Positions and Barium Images Purpose

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    Aaron Smith
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    This document describes the positions, images, and purposes of a barium swallow exam. It involves having the patient drink barium in various positions while X-ray images are taken. This allows evaluation of the esophagus, stomach, and duodenum for abnormalities like strictures, hernias, masses or ulcerations. Multiple images from different angles are taken as the barium travels through the digestive system to thoroughly examine the mucosal lining and assess for any functional issues.

    Original Description:

    Fluoroscopy

    Original Title

    UGI Protocol

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    This document describes the positions, images, and purposes of a barium swallow exam. It involves having the patient drink barium in various positions while X-ray images are taken. This allows evaluation of the esophagus, stomach, and duodenum for abnormalities like strictures, hernias, masses or ulcerations. Multiple images from different angles are taken as the barium travels through the digestive system to thoroughly examine the mucosal lining and assess for any functional issues.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    100 views3 pages

    Barium Swallow (Esophagram) :: Positions and Barium Images Purpose

    Uploaded by

    Aaron Smith
    This document describes the positions, images, and purposes of a barium swallow exam. It involves having the patient drink barium in various positions while X-ray images are taken. This allows evaluation of the esophagus, stomach, and duodenum for abnormalities like strictures, hernias, masses or ulcerations. Multiple images from different angles are taken as the barium travels through the digestive system to thoroughly examine the mucosal lining and assess for any functional issues.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 3

    Barium swallow (Esophagram):

    Positions and barium Images Purpose


    Upright LPO: gulp fizzies and Radiograph: Hi, Mid, and Mucosal evaluation
    guzzle thick barium Low air esophagram
    Table flat log roll twice Optional: LPO stomach Coat the stomach
    starting towards the left
    Upright Lateral with arm Radiograph: lateral Stomach Mucosal evaluation of Cardia
    up (sleepwalker)
    Table flat supine RAO: thin Fluoro-store: barium Assess primary stripping
    barium with straw, single sip esophagram following top of wave, ? secondary wave.
    barium column, Check for non- peristaltic
    contractions

    Another single sip Fluoro-store: valsalva when To look for sliding hiatal
    column reaches GE junction hernia.
    collapse empty esophagus mass or ulcerations
    Multiple sips thin in a row Full column distended views Strictures and distensibility
    of entire esophagus
    Optional: Upright, one large real images hypopharynx in Mass or asymmetry of
    swallow of thick in AP and neutral, EEEE phonation, and hypopharynx structures
    lateral position: cheek puff

    Optional: 1 gulp thin, once in Real rapid sequence images Aspiration


    lateral and once in AP (4/sec)
    Optional: Upright LPO: 13 Fluoro-store: follow pill pass Predict dysphagia with solids.
    mm barium pill GE junction
    Optional: Overhead attending RAO stomach, LPO stomach,
    dependent RAO drinking esophagus.
    Upper GI :
    Positions and barium Images Purpose
    Upright LPO: gulp fizzies and Radiograph: Hi, Mid, and Mucosal evaluation
    guzzle thick barium Low air esophogram
    Table flat log roll twice Coat stomach
    starting towards the left,
    ending
    Table Flat: Supine Radiograph whole stomach Safety shot, mucosal eval
    Table Flat: LPO Radiograph: Antrum and Mucosal evaluation
    Pylorus of stomach, bonus if
    air in bulb
    Table flat: RPO Radiograph: Fundus, Cardia, Mucosal evaluation
    Ant/Post Walls
    Patient in RPO: slowly tilt Watch for contrast falling Mucosal evaluation
    table up: from fundus to body
    (waterfall view)
    Upright Lateral with arm Radiograph: lateral Stomach Mucosal evaluation
    up (sleepwalker)
    Table flat: LPO/LLdecub Radiograph: duodenal bulb Mucosal evaluation
    Table flat prone RAO: thin Fluoro-store: barium Assess primary stripping
    barium with straw, single sip esophagram following top of wave, ? secondary wave.
    barium column, Check for non- peristaltic
    contractions

    Table flat prone RAO: Fluoro-store: valsalva when To look for sliding hiatal
    Another single sip column reaches GE junction hernia.
    collapse empty esophagus mass or ulcerations
    Table flat prone RAO: Full column distended views Strictures and distensibility
    Multiple sips thin in a row of entire esophagus
    Table flat, position variable Radiograph: Stomach, bulb, Filling defects
    and C-sweep filled with
    barium
    Table flat: left lateral Radiograph: stomach, bulb ulcerations
    and C-sweep filled with air
    Table upright: LPO Fluoro-store: Compression Ensure folds are
    view of Stomach body and compressible.
    antrum and bulb
    Optional: Upright, one large real images hypopharynx in Mass or asymmetry of
    swallow of thick in AP and neutral, EEEE phonation, and hypopharynx structures
    lateral position: cheek puff
    Optional: 1 gulp thin, once in Real rapid sequence images Aspiration
    lateral and once in AP (4/sec)
    Optional: Upright LPO: 13 Fluoro-store: follow pill pass Predict dysphagia with solids.
    mm barium pill GE junction
    Optional: Overhead attending RAO stomach, LPO stomach,
    dependent RAO drinking esophagus.

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