Case study

Mr. Jones is a 45 year old male who

presents to your clinic with epigastric

abdominal pain for 2 weeks. He describes

it as a burning pain which is non-radiating

and is worse after he eats. He has tried

antacid drug which do help a little.

AfterHistory Taking

Abdominal Examination

PEPTIC ULCER!!

SO, what is the next STEP

BARIUM MEAL Normal vs Abnormal

DONE BY\ Eman Salman Al-Hassan

King Faisal University

College of Medicine

OBJECTIVE

-Definition -Indications

- Contraindications -Advantages vs Disadvantages

-Types- Patient preparation

- Normal vs abnormal images -Summary

-References

DEFINTION

AIMS\ To look for problems in the stomach and duodenum by drinking barium sulfate suspension, then X-ray series of images are

taken. It is often performed straight after a barium swallow test.

ID\ It is a type of x-ray fluoroscopy study of gastroesophageal junction, stomach and

duodenum abnormalities.

Indications

Dyspepsia Reflux diseases

Unexplained weight loss

Upper abdominal mass

Gastrointestinal hemorrhage

Partial gastric or duodenal obstruction

Suspected hiatus hernia

CONTRAINDICATIONS

Complete bowl obstruction

Suspected perforation

Pregnancy

Extremely safe

Noninvasive

The results of the upper GI series usually lead to accurate evaluation

Allergic reactions are extremely rare

No radiation remains in a patient's body

Rare side effects

ADVANTAGES vs DISADJANTAGES

In GENERALSlight chance of cancer from excessive exposure to radiation

Occasionally allergy to the flavoring added to some brands of barium

Slight chance that some barium could be retained, and block the digestive system.

SINGLE contrast\ Using HIGH density and BIG amount of BARIUM suspension alone to fill the stomach and duodenum

TYPES

DOUBLE contrast\ Using with LOW density and SMALL amount of BARIUM suspension with AIR to coat the wall of stomach and duodenum

BI-PHASIC contrast\ It combines Both types in one procedure

PATIENT PREPARATION

1 -

FASTING 6 hours after midnight

2- Avoid smoking, chewing gum or medications

3- Decrease fluid in stomach

4- I.V smooth muscle relaxant

NORMAL BARIUM MEAL

SINGLE contrast DOUBLE contrast

ABNORMAL BARIUM MEAL

EROSIVE GASTRITIS

INFILTRATIVA CARCINOMA

MALIGNANT GASTRIC ULCER

HIATUS HERNIA

GASTRITIS DIVERTICULUM

GASTRITIS VALVULUS

PYLORIC STENOSIS

DEUDENAL ULCER

-BARIUM MEAL a type of x-ray fluoroscopy study of gastroesophageal junction, stomach and duodenum

-It is INDICATED in case of upper GI abnormalities like tumor, ulcer and partial obstruction

-CONTRAINDICATED in case of complete obstruction of perforation

-Extremely SAFE

3 TYPES are used (single, double and biphasic)

SUMMARY

://https. . . / / / / - / -2001-www rnzcgp org nz assets documents Publications Archive NZFP Oct- -28- -5/ .NZFP Vol No gys PDF

http:// . . . / / - -www patient co uk health barium swallowmealfollow through

://http. . . / - / / / - - -www bupa co uk health information directory b barium swallow and meal

://https. - . . / / / / / 02/ 01.wwwmed ed virginia edu courses rad gi smallbowel im sbft htm

://http . . / / . ? =www radiologyinfo org en info cfm pg uppergi

://http. . . / - / - - - - -wwwmydr com au tests investigations barium swallow and barium meal te

sts

REFERANCES