Scribd Logo
Upload

Welcome to Scribd!

  • 2K views

    Barium Follow-Through TBL

    Uploaded by

    Kyo Jie Ming
    The document discusses various barium studies used to examine the gastrointestinal tract including barium swallow, barium meal, barium follow through, barium enema, and small bowel enema. It provides details on how each test is performed and examples of images showing normal findings and common diseases found.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd

    Barium Follow-Through TBL

    Uploaded by

    Kyo Jie Ming
    2K views16 pages
    The document discusses various barium studies used to examine the gastrointestinal tract including barium swallow, barium meal, barium follow through, barium enema, and small bowel enema. It provides details on how each test is performed and examples of images showing normal findings and common diseases found.

    Original Title

    Barium Follow-through TBL

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses various barium studies used to examine the gastrointestinal tract including barium swallow, barium meal, barium follow through, barium enema, and small bowel enema. It provides details on how each test is performed and examples of images showing normal findings and common diseases found.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    2K views16 pages

    Barium Follow-Through TBL

    Uploaded by

    Kyo Jie Ming
    The document discusses various barium studies used to examine the gastrointestinal tract including barium swallow, barium meal, barium follow through, barium enema, and small bowel enema. It provides details on how each test is performed and examples of images showing normal findings and common diseases found.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 16

    Barium follow-through

    Used to evaluate the small intestine Contrast medium appears white on xrays,showing internal lining of the bowel X-ray images taken as the contrast moves through the intestine, commonly at 0 minutes, 20 minutes, 40 minutes and 90 minutes Test completed when barium is visualized in the terminal ileum and Caecum

    Clinical Application

    Long segment narrowing of the jejunal loops with loss of mucosal pattern and bowel wall thickening.Diagnosis:Crohns disease

    Frontal spot image from SBFT shows smooth elongated mass (black arrows) in distal ileum with telescoping of small bowel (intussusceptum, white arrow) into Overhead image from a small bowel follow through in a adjacent lumen (intussuscipiens), producing patient with history of Crohn's disease demonstrates coil spring appearance (arrowheads). This evidence of terminal ileal wall thickening, causing patient had inverted Meckel diverticulum narrowing of the lumen. acting as lead point for intussusception.

    49-year-old woman with Crohn's disease involving small bowel. Five years before these imaging studies were obtained, patient had undergone segmental resection of ileum because of protein-losing enteropathy. Spot compression image of small-bowel follow-through study obtained 1 day afterA shows linear ulcer (arrows) in mesenteric border and pseudosacculation (arrowheads) along antimesenteric border.

    Frontal spot image from SBFT shows primary adenocarcinoma of small bowel as annular lesion in jejunum, with circumferential narrowing, shelflike margins (black arrows), and small central ulcer (white arrow).

    Contraindications
    known or suspected obstruction of the colon suspected tracheoesophageal fistula, known obstructing lesions of the small intestine, pyloric stenosis known hypersensitivity to barium sulfate formulations. Imminent surgery and or suspected perforation; require water soluble contrast media. aspiration pneumonitis barium sulfate impaction granuloma formation intravasation, embolization and peritonitis following intestinal perforation vasovagal and syncopal episodes allergic reactions in atopic patients

    Adverse effects

    Small bowel enema(Enteroclysis)


    Alternative for small bowel examination A thin tube/catheter is passed down the oesophagus, through the stomach, and into the first part of the small intestine. Barium liquid is then poured down the tube Demonstrates strictures or adhesions when there is suspicion of intermittent obstruction

    Frontal spot image from enteroclysis shows normal folds in distal jejunum as thin (12-mm-thick) delicate structures perpendicular to longitudinal axis of bowel. There are normally four to seven folds per inch of jejunum.

    Frontal spot image from enteroclysis shows multiple smoothsurfaced hemispheric submucosal masses (white arrows) in small bowel; other lesions have bull's-eye appearance (black arrows) due to central ulceration. This patient had malignant melanoma with hematogenous metastases to small bowel

    Left posterior oblique spot image from enteroclysis shows partially obstructing adhesive band as vertically oriented, extrinsic, bandlike impression (arrows) traversing lumen of jejunum, with proximal dilatation.

    Barium Enema
    To examine and diagnose problems with the colon(large intestine) Patient lies on the X-ray table and a preliminary X-ray is taken A well lubricated enema tube is inserted into the rectum Barium sulfate and air/Co2 is then allowed to flow into the colon A small balloon at the tip of the enema tube may be inflated to help keep the barium sulfate inside flow of the barium sulfate is monitored by the health care provider on an X-ray fluoroscope screen

    Frontal spot image from double-contrast barium enema examination (with reflux into terminal ileum) shows carcinoid tumor as smooth, sessile, 1.5-cm-diameter polyp (black arrows) in terminal ileum. Also note multiple ileal diverticula (white arrows).

    18-year-old woman with Crohn's disease involving colon. Image from double-contrast barium enema reveals longitudinal and perpendicular ulcerations (arrows) in right colon.

    Peripheral T-cell lymphoma of the colon with diffuse involvement in a 42-year-old woman.Double-contrast barium enema image shows multiple shallow (arrows) and aphthous (arrowheads) ulcerations in the entire colon.

    Small ulcerations with a diffuse distribution (arrows) and geographic ulceration (arrowhead)

    Contraindication Adverse effects

    Barium Swallow
    Indications Dysphagia,Heartburn, Chest pain,Motility disorder

    Barium Meal
    Dyspepsia,Epigastric pain,Anaemia,Vomiting ,Perforation(non-ionic contrast)

    Barium FollowThrough
    Diarrhoea& abdominal pain of small bowel origin,possible obstruction by strictures Malabsoprtion,Crohns disease

    Barium Enema
    Altered bowel habit,rectal bleeding,Anaemia

    Major Uses

    Strictures,Hiatus hernia,GERD,motility disorders(e.g:achalasia)

    Gastric/duodenal ulcer,gastric ca/outlet obstruction,gastric emptying disorders

    Neoplasia,Diverticulosi s,strictures(e.g:ischaem ic),megacolon

    Limitations

    Risk of aspiration,poor mucosal detail,unable to biopsy

    Low sensitivity for early ca,Unable to biopsy or assess Helicobacter pylori

    Timeconsuming,radiation exposure

    Difficult in frail elderly or incontinent patients,uncomfortable ,sigmoidoscopy necessary to evaluate rectum,Misses polyps<1cm,less useful in IBD

    You might also like