Barium meal 7.ppt for radiological collegues

Barium meal study used to demonstrate stomach anatomy and possible pathology

1. Barium meal
Definition
*Contrast examination of the
stomach.

2. Barium meal
Indications
1 .ulcer
2 .Tumors
3 .Stenosis (pyloric stenosis)
4.Perforation
5 .Hiatus hernia
6 .Post operative
7 .Volvulus
8 .Gastroesophageal reflux
9 .Dyspepsia
10 .Weight loss

3. Barium meal
Contra indications
1 .Unconscious patient.
2 .Complete large bowel obstruction.

4. Barium meal
Contrast media
*Ba sulphate
*gasrographin

5. Barium meal
Amount of contrast media
*Four ounces of Ba dissolved in cup
moderately thick.

6. Barium meal
Patient preparation
1 .Nil orally for 6 hrs prior to examination.
2 .The patient is advised not to smoke on
the day of the examination, as to
increases gastric motility.

7. Barium meal
Methods
1 .Double contrast: the method of choice to
demonstrate mucosal pattern (always).
2 .Single contrast, uses:
a. children, since it usually is not necessary
to demonstrate mucosal pattern.
b. very ill adult, to demonstrate gross
pathology .

8. Barium meal
Procedure
*Under screening, patient erect swallow
contrast to show the esophagus, then the
patient supine (rotate the pt) to coat the
mucosa with contrast.

9. Barium meal
Always double contrast ( -ve air, +ve Ba):
1 .Gas granules or tablets
2 .Andros then swallow barium.
3 .Ba + air.

10. Barium meal
1 .Mucosal film.

11. Barium meal
2 .Three main views:
a. Pt prone raised left side (Rt anterior
oblique) or Lt posterior oblique (single
contrast in lower stomach and duodenum,
and double contrast in the fundus).

12. Barium meal

13. Barium meal
b. Pt supine, raised Rt side:
The Ba in the fundus and double contrast in
the distal part of the stomach and
duodenum.

14. Barium meal
c. Pt erect : to show gastric hypersecretion
(three layers appearance Ba, gastric juice
and gas) .

15. Barium meal
3 .PA

16. Barium meal
Note
*post operative or suspected perforation we
use gastrografin because is very thin and
it can detect very small leakage .

17. The end