Esophagogram
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A barium swallow is a medical imaging procedure used to examine the upper GI (gastrointestinal) tract, which includes the oesophagus and, to a lesser extent, the stomach.
Principle
Barium sulphate is a type of Contrast medium that is visible to x-rays. As the patient swallows the Barium suspension, it coats the oesphagus with a thin layer of the barium. This enables the hollow structure to be imaged.
Examination
The patient is asked to drink a suspension of barium sulfate. Fluoroscopy images are taken as the barium is swallowed. This is typically at a rate of 2 or 3 frames pers second. The patient is asked to swallow the Barium a number of times, whilst standing in different positions, i.e. AP, oblique and lateral, to assess the 3D structure as best possible.
Pathology
Pathologies detected on a Barium Swallow include:
- Achalasia
- Oesophageal pouch
- Cancer of oesophagus
- Tracheoesophageal fistula
- Schatzki ring
- Reflux
- Zenker's diverticulum
- Hiatus hernia