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Case study
Mr. Jones is a 45 year old male who
presents to your clinic with epigastric
abdominal pain for 2 weeks. He describes
it as a burning pain which is non-radiating
and is worse after he eats. He has tried
antacid drug which do help a little.
AfterHistory Taking
Abdominal Examination
PEPTIC ULCER!!
SO, what is the next STEP
BARIUM MEAL Normal vs Abnormal
DONE BY\ Eman Salman Al-Hassan
King Faisal University
College of Medicine
OBJECTIVE
-Definition -Indications
- Contraindications -Advantages vs Disadvantages
-Types- Patient preparation
- Normal vs abnormal images -Summary
-References
DEFINTION
AIMS\ To look for problems in the stomach and duodenum by drinking barium sulfate suspension, then X-ray series of images are
taken. It is often performed straight after a barium swallow test.
ID\ It is a type of x-ray fluoroscopy study of gastroesophageal junction, stomach and
duodenum abnormalities.
Indications
Dyspepsia Reflux diseases
Unexplained weight loss
Upper abdominal mass
Gastrointestinal hemorrhage
Partial gastric or duodenal obstruction
Suspected hiatus hernia
CONTRAINDICATIONS
Complete bowl obstruction
Suspected perforation
Pregnancy
Extremely safe
Noninvasive
The results of the upper GI series usually lead to accurate evaluation
Allergic reactions are extremely rare
No radiation remains in a patient's body
Rare side effects
ADVANTAGES vs DISADJANTAGES
In GENERALSlight chance of cancer from excessive exposure to radiation
Occasionally allergy to the flavoring added to some brands of barium
Slight chance that some barium could be retained, and block the digestive system.
SINGLE contrast\ Using HIGH density and BIG amount of BARIUM suspension alone to fill the stomach and duodenum
TYPES
DOUBLE contrast\ Using with LOW density and SMALL amount of BARIUM suspension with AIR to coat the wall of stomach and duodenum
BI-PHASIC contrast\ It combines Both types in one procedure
PATIENT PREPARATION
1 -
FASTING 6 hours after midnight
2- Avoid smoking, chewing gum or medications
3- Decrease fluid in stomach
4- I.V smooth muscle relaxant
NORMAL BARIUM MEAL
SINGLE contrast DOUBLE contrast
ABNORMAL BARIUM MEAL
EROSIVE GASTRITIS
INFILTRATIVA CARCINOMA
MALIGNANT GASTRIC ULCER
HIATUS HERNIA
GASTRITIS DIVERTICULUM
GASTRITIS VALVULUS
PYLORIC STENOSIS
DEUDENAL ULCER
-BARIUM MEAL a type of x-ray fluoroscopy study of gastroesophageal junction, stomach and duodenum
-It is INDICATED in case of upper GI abnormalities like tumor, ulcer and partial obstruction
-CONTRAINDICATED in case of complete obstruction of perforation
-Extremely SAFE
3 TYPES are used (single, double and biphasic)
SUMMARY
://https. . . / / / / - / -2001-www rnzcgp org nz assets documents Publications Archive NZFP Oct- -28- -5/ .NZFP Vol No gys PDF
http:// . . . / / - -www patient co uk health barium swallowmealfollow through
://http. . . / - / / / - - -www bupa co uk health information directory b barium swallow and meal
://https. - . . / / / / / 02/ 01.wwwmed ed virginia edu courses rad gi smallbowel im sbft htm
://http . . / / . ? =www radiologyinfo org en info cfm pg uppergi
://http. . . / - / - - - - -wwwmydr com au tests investigations barium swallow and barium meal te
sts
REFERANCES