Barium Meal

Barium Meal by\ Eman Salman
It was used for student presentation in radiology course rotation
I Hope you find what is helpful for your knowledge ♥

1. 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.

2. After History Taking Abdominal Examination PEPTIC ULCER !! SO, what is the next STEP

3. BARIUM MEAL Normal vs Abnormal DONE BY\ Eman Salman Al-Hassan King Faisal University College of Medicine

4. OBJECTIVE - Definition - Indications - Contraindications - Advantages vs Disadvantages - Types - Patient preparation - Normal vs abnormal images - Summary - References

5. 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.

6. Indications D yspepsia Reflux diseases Unexplained weight loss Upper abdominal mass G astrointestinal hemorrhage Partial gastric or duodenal obstruction Suspected hiatus hernia

7. CONTRAINDICATIONS Complete bowl obstruction Suspected perforation Pregnancy

8. 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 GENERAL Slight 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 .

9. 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

10. 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

11. NORMAL BARIUM MEAL SINGLE contrast DOUBLE contrast

12. ABNORMAL BARIUM MEAL

13. EROSIVE GASTRITIS INFILTRATIVA CARCINOMA

14. MALIGNANT GASTRIC ULCER HIATUS HERNIA

15. GASTRITIS DIVERTICULUM GASTRITIS VALVULUS

16. PYLORIC STENOSIS DEUDENAL ULCER

17. - 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

18. https:// www.rnzcgp.org.nz/assets/documents/Publications/Archive-NZFP/Oct-2001-NZFP-Vol-28-No-5/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:// www.med-ed.virginia.edu/courses/rad/gi/smallbowel/im02/sbft01.htm http:// www.radiologyinfo.org/en/info.cfm?pg=uppergi http:// www.mydr.com.au/tests-investigations/barium-swallow-and-barium-meal-tests REFERANCES