Barium Swallow or Barium Esophagogram

                               Barium Swallow

                                         or

                            Barium Esophagogram

Definition

Barium swallow is the radiographic study of pharynx and esophagus up to the level of stomach with the help of contrast.

Indications

Dysphagia (Difficulty in swallowing)

Heart burn 

Gastroesophageal reflux

Hiatus hernia

Vomiting

Suspected peforation

Contrast

The contrast is used is barium sulphate (Baso4)

Risk Factors

Allergic reaction

Anaphylaxis (Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death.)

Vomiting

Contrast reflux

Aspiration

Equipments

X ray unit

Fluoroscopy with spot film device

Barium sulphate

Sterile glass

Surgical gloves etc.

Preparation

The procedure should be explained to patient before undergoing to procedure.

All metallic ornaments should be removed specially in chest region.

The patient should be NBM as possible.

Take patient history

Check pregnancy status.

Procedure

The patient lies supine on the table and plain film should be taken including pharynx, esophagus and stomach.

One mouthful contrast bolus is given to the patient.

Then the patient is asked to swallow once and stop swallowing there after.

Frontal and oblique views are taken including pharynx, esophagus, and stomach.

Exposure should be made immediately when the patient swallowing the contrast.

Filming

Plain film soft tissue neck with thorax AP

After Contrast : 

1.Soft tissue neck AP –Lat.

2.Thorax ap and thorax right anterior oblique (RAO)

 case 1. 

case 2. 

case 3.

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                 THANK YOU

😊 STAY SAFE   STAY HAPPY  😊

SPECIALLY THANKS🙏 🤝 🙏

                 Mr. KAMLESH MEHTA 
              ASSOCIATE  PROFESSOR
                 RADIATION   PHYSICS
                     GMCH, UDAIPUR

BLOG WRITE BY : BHARAT GOYAL(RT)

   👉  If you have any questions about this procedure.

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                                             😊   Once Again  😊