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    Barium Studies: Presented by

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    Hannah samuel
    Barium studies are a group of diagnostic tests that use barium sulfate and x-rays to detect abnormalities in the gastrointestinal tract. Barium sulfate coats the lining of the digestive tract, allowing it to be visualized via x-ray. There are several types of barium studies including upper GI series to examine the esophagus, stomach and small intestine and lower GI series to examine the large intestine. The procedures involve administering barium sulfate orally or rectally and taking serial x-rays.

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    Barium Studies: Presented by

    Uploaded by

    Hannah samuel
    233 views18 pages
    Barium studies are a group of diagnostic tests that use barium sulfate and x-rays to detect abnormalities in the gastrointestinal tract. Barium sulfate coats the lining of the digestive tract, allowing it to be visualized via x-ray. There are several types of barium studies including upper GI series to examine the esophagus, stomach and small intestine and lower GI series to examine the large intestine. The procedures involve administering barium sulfate orally or rectally and taking serial x-rays.

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    Barrium Studies

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    Barium studies are a group of diagnostic tests that use barium sulfate and x-rays to detect abnormalities in the gastrointestinal tract. Barium sulfate coats the lining of the digestive tract, allowing it to be visualized via x-ray. There are several types of barium studies including upper GI series to examine the esophagus, stomach and small intestine and lower GI series to examine the large intestine. The procedures involve administering barium sulfate orally or rectally and taking serial x-rays.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    233 views18 pages

    Barium Studies: Presented by

    Uploaded by

    Hannah samuel
    Barium studies are a group of diagnostic tests that use barium sulfate and x-rays to detect abnormalities in the gastrointestinal tract. Barium sulfate coats the lining of the digestive tract, allowing it to be visualized via x-ray. There are several types of barium studies including upper GI series to examine the esophagus, stomach and small intestine and lower GI series to examine the large intestine. The procedures involve administering barium sulfate orally or rectally and taking serial x-rays.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 18

    BARIUM STUDIES

    PRESENTED BY
    Mr.DEVAKAR
    Ms.SHRUTHI
    Ms.NISHA
    Ms.PRIYA
    Ms.SURYA
    Ms.DHANALAKSHMI
    Ms.ANITHA
    INTRODUCTION

    Group of diagnostic tests used to detect abnormalities


    of the gastro-intestinal tract using X-ray imaging

    Radio-opaque contrast used :Barium Sulphate


    It coats lining of the digestive tract,allowing accurate
    X-ray imaging to be examined
    Barium Sulphate is mixed with water and is
    swallowed
    Following this a sries of X-ray are taken
    CONTRAST EXAMINATION
    Single Contrast medium :
    Only barium is given 60-100%
    To outline the structure , lumen and large abnormalitites

    Double contrast medium:


    Barium with gas producing agent is given 200-250
    For detail viewing of the mucosal pattern,making it easier to see narrowed
    areas(strictures),diverticula or inflammation
    CLASSIFICATION

     Barium Studies:
     1) Upper Gastro-Intestinal Series
     2)Lower Gastro Intestinal Series
    UPPER GASTRO –INTESTINAL SERIES
    1.Barium Swallow Examination
    2.Barium Meal Examination
    3.Barium Follow Through Examination
    4.Entroclysis \Small Bowel Enema

    LOWER GASTRO-INTESTINAL SERIES


    1.Barium Enema Examination
    PROCEDURE
     Medical History
     Clinical Status
     Patient Consent
     Barium Study
    Barium Swallow
    It is known as esophagography.to examine the pharynx and esophagus
    Purpose:
    To diagnosis hiatal,diverticula and varices
    To detect strictures,ucers,tumors,polyps and motility disorder
    Procedure:
    1. Explain to the patient that this test evaluates the function of the pharynx and esophagus.
    2. Instruct the patient to fast after midnight before the test.
    3. If the patient is infant, delay the feeding to ensure complete digestion of the barium.
    4. Explain that the test takes approximately 30 minutes.
    5. Describe the milkshake consistency and chalky taste of the barium preparation the patient will ingest; although it’s flavored, it may
    be unpleasant to swallow.
    6. Tell him he’ll first receive a thick mixture and then a thin one and that he must drink 12 to 14 oz (355 to 414 ml) during the
    examination.
    7. Inform him that he’ll be placed in various positions on a tilting radiograph table and that radiographs will be taken.
    8. If gastric reflux is suspected, withhold antacids, histamine-2 (H2) blockers, and proton pump inhibitors, as ordered.
    9. Just before the procedure, instruct the patient to put a hospital gown without snap closures and to remove jewelry, dentures,
    hairpins, and other radiopaque objects from the radiograph field.
    10. Check the patient history for contraindications to the barium swallow, such as intestinal obstruction and pregnancy. Radiation may
    have teratogenic effects.
    Complications

    Barium retained in the intestine may harden, causing


    obstruction or fecal impaction.
    Abdominal distention and absent bowel sounds, which may
    indicate constipation and may suggest barium impaction.
    Barium Meal
    For barium meal or barium follow through examination ,a 6-hours period of fasting is
    observed prior to the studies
    Indication:
     Dyspepsia
     Upper abdominal mass
     Weightloss
     Gastrointestinal hemorrhage
     Partial obstruction
    Barium is administerd orally,sometimes mixed with drug to reduce transit time in the bowel
    and to enhance gastric emptying.
    X-ray images are then taken in a supine position at the intervals of 20-30 minutes.
    The radiologist may press or palpate the abdomen during images to separate intestinal loops.
    The total time necessary for the test depends on the speed of bowel motility or transit time
    and may vary between 1and 3 hours.
    Procedure
    Barium is administerd orally,sometimes mixed with drug to reduce transit time in the
    bowel and to enhance gastric emptying.
    NPO – 6hours.
    Metoclopramide 20 mg orally may be given before or during the examination.
    X-ray images are then taken in a supine position at the intervals of 20-30 minutes.
    The radiologist may press or palpate the abdomen during images to separate intestinal
    loops.
    The total time necessary for the test depends on the speed of bowel motility or transit
    time and may vary between 1and 3 hours.

    Contraindication:
    Complete large bowel obstruction
    ENTROCLYSIS
    It is an examination of the small bowel
    Indication :
     GI bleed
     Partial obstruction
     Malabsorbtion
     Abdominal mass
    Procedure:
     Fasting for 8 hours prior to examination.
     Laxative:Bowel preparationand cleansing.
     Infusion of thin barium sulphate suspension (500-1000 ml) into the bowel through
    duodenal tube.
    Fluroscopy done or viewed as standard radiographs taken at frequent intervals.
    6 hours or longer to complete.
    Contraindication:
     Complete obstruction
    Barium Enema
    It is a radiological study or large bowel by administration of contrasr medium to
    rectum
    Indication:
     Dysphagia
     Hiatus hernia
     Strictures
     Diverticula
     Pyloric stenosis
    Procedure
     Large intestine condition.
     Thorough cleaning of the large intestine is necessary for accuratr picture.
     Laxative, warm water enema,NPO before 8-10 hours.
     Patient is asked to lie on their side while a well lubricated enema tube is
    inserted into the rectum.
     Barium suphate is infused and xray examination is done.

    Contraindication:
     Suspected bowel preparation
     Hypersensitivity to barium
     Pregnancy
     Recent biopsy

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