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• Dysphagia
• Upper abdominal mass
• Weight loss
• Gastrointestinal Hemorrhage
• Partial Obstruction
• Assessment of perforation
ADVANTAGE & DISADVANTAGE
ADVANTAGE DISADVANTAGE
• Complication
– Barium peritonitis : The escape of barium into the
peritoneal cavity is extremely serious, and will
produce pain and severe hypovolemic shock
– Aspiration : pneumonitis and granuloma formation
– Intravasation : barium pulmonary embolus
BARIUM MEAL
Method:
1. Patient to fast for at least 6 hours prior to the
examination.
2. Swallow barium then gas-producing agent,
3. IV short-acting smooth muscle relaxant
4. IV smooth muscle relaxant.
5. Various positions (erect and lying flat).
BARIUM SWALLOW
• Patient swallows a gas-producing agent to
distend the oesophagus,
• Patient swallow barium, and its passage down
the oesophagus is observed on a television
monitor.
• Films are taken with the oesophagus both full
of barium to show the outline, and following
the passage of the barium to show the
mucosal pattern.
BARIUM FOLLOW THROUGH
Method:
1. Single contrast
2. With the addition of an effervescent
3. With the addition of pneumocolon technique
BARIUM ENEMA
• the bowel is prepared by means of aperients or
washout to rid the colon of faecal material, which
might otherwise mask small lesions and cause
confusion by simulating polyps.
• Barium is run into the colon under gravity
through a tube inserted into the rectum.
• Air is then blown in to push the barium around
the colon with the result that the colon is
distended with air and the mucosa coated with
barium, giving the ‘double-contrast’ effect.
• Films are taken in various projections
GASTROGRAFIN
GASTOGRAFFIN
Suspected
Meconium ileus
perforation
To distinguish
bowel from other
structures on CT
CONTRAINDICATION & COMPLICATIONS
• Contraindication
– Hyperthyroidism
– Pregnancy and lactation
– Patients with fluid and electrolyte imbalances
• Complication
– Pulmonary oedema if aspirated
– Allergic reactions - due to absorbed contrast
media
REFERENCE
• A Guide to Radiological Procedures by Stephen Chapman
& Richard Nakielny , FOURTH EDITION
• http://www.radiologyinfo.org/en/info.cfm?pg=safety-
contrast
• Diagnostic Imaging (7th edition), Rockall, Andrea, hatrick
Andrew, Amstrong, Peter, Wastie
• A guide to Radiological Procedure (4th edition), Stephen
Chapman, Richard Nakielny
• Imaging for Students © 2012 David A Lisle, Hodder
Arnold