Dysphagia barium swallow: Difference between revisions
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{{Dysphagia}} | {{Dysphagia}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{FT}}, {{HQ}} | ||
==Overview== | ==Overview== | ||
Among patients with dysphagia, barium study is considered the preferred method for evaluating patients as it allows assessment of function of the upper gastrointestinal tract and morphology. | |||
==Barium Swallow== | ==Barium Swallow== | ||
A | '''Modified barium swallow study''' | ||
*Conducted by a speech pathologist in conjunction with a radiologist:<ref name="ChenOtt1985">{{cite journal|last1=Chen|first1=Yu Men|last2=Ott|first2=David J.|last3=Gelfand|first3=David W.|last4=Munitz|first4=H. Alexander|title=Multiphasic examination of the esophagogastric region for strictures, rings, and hiatal hernia: Evaluation of the individual techniques|journal=Gastrointestinal Radiology|volume=10|issue=1|year=1985|pages=311–316|issn=0364-2356|doi=10.1007/BF01893119}}</ref><ref>Rosenbek, J. C., Robbins J. A., Roecker, E. B., Coyle, J. L., & Wood, J. L. (1996). A penetration aspiration scale. "Dysphagia, 11," 93-98.</ref><ref name="LogemannPauloski1992">{{cite journal|last1=Logemann|first1=Jeri A.|last2=Pauloski|first2=Barbara Roa|last3=Rademaker|first3=Alfred|last4=Cook|first4=Barbara|last5=Graner|first5=Darlene|last6=Milianti|first6=Frank|last7=Beery|first7=Quinter|last8=Stein|first8=David|last9=Bowman|first9=Julia|last10=Lazarus|first10=Cathy|last11=Heiser|first11=Mary Anne|last12=Baker|first12=Theresa|title=Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients|journal=Dysphagia|volume=7|issue=4|year=1992|pages=179–186|issn=0179-051X|doi=10.1007/BF02493468}}</ref><ref name="LevineRubesin2017">{{cite journal|last1=Levine|first1=Marc S.|last2=Rubesin|first2=Stephen E.|title=History and Evolution of the Barium Swallow for Evaluation of the Pharynx and Esophagus|journal=Dysphagia|volume=32|issue=1|year=2017|pages=55–72|issn=0179-051X|doi=10.1007/s00455-016-9774-y}}</ref> | |||
*Different consistencies of liquid and food mixed with [[barium]] sulfate are fed to the patient by spoon, cup or syringe, and x-rayed using videofluoroscopy | |||
*Penetration aspiration scale describes the disordered physiology of a person's swallow using the numbers 1-8 | |||
'''Findings''' | |||
Barium swallow study helps in diagnosing the underling etiology of patients presenting with dysphagia such as: | |||
* Dysphagia in patients with | |||
** History of surgery for laryngeal or esophageal cancer | |||
** History of radiation or irritating injury | |||
* [[Achalasia]] | |||
* [[Zenker's diverticulum]], a barium swallow should be performed first instead of endoscopy to prevent any perforation. | |||
* [[Achalasia]] | |||
* [[Stricture]] | |||
[[Image:DES radio.png|frame|center|Barium swallow appearance of DES<br>Source:By Nevit Dilmen [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)]] | |||
[[Image:Acha.jpg|center|200px|thumb|Case courtesy of Dr Mario Umana, Radiopaedia.org, rID: 38071]] | |||
[[Image:ec1.jpg|thumb|center|500px|Source: Barium swallow showing esophageal cancer. Case courtesy of Dr Andrew Dixon, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/9907">rID: 9907</a>]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Needs overview]] | |||
[[Category:Geriatrics]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Otolaryngology]] | |||
Latest revision as of 21:30, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Feham Tariq, MD [2], Hamid Qazi, MD, BSc [3]
Overview
Among patients with dysphagia, barium study is considered the preferred method for evaluating patients as it allows assessment of function of the upper gastrointestinal tract and morphology.
Barium Swallow
Modified barium swallow study
- Conducted by a speech pathologist in conjunction with a radiologist:[1][2][3][4]
- Different consistencies of liquid and food mixed with barium sulfate are fed to the patient by spoon, cup or syringe, and x-rayed using videofluoroscopy
- Penetration aspiration scale describes the disordered physiology of a person's swallow using the numbers 1-8
Findings
Barium swallow study helps in diagnosing the underling etiology of patients presenting with dysphagia such as:
- Dysphagia in patients with
- History of surgery for laryngeal or esophageal cancer
- History of radiation or irritating injury
- Achalasia
- Zenker's diverticulum, a barium swallow should be performed first instead of endoscopy to prevent any perforation.
- Achalasia
- Stricture
Source:By Nevit Dilmen [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)
References
- ↑ Chen, Yu Men; Ott, David J.; Gelfand, David W.; Munitz, H. Alexander (1985). "Multiphasic examination of the esophagogastric region for strictures, rings, and hiatal hernia: Evaluation of the individual techniques". Gastrointestinal Radiology. 10 (1): 311–316. doi:10.1007/BF01893119. ISSN 0364-2356.
- ↑ Rosenbek, J. C., Robbins J. A., Roecker, E. B., Coyle, J. L., & Wood, J. L. (1996). A penetration aspiration scale. "Dysphagia, 11," 93-98.
- ↑ Logemann, Jeri A.; Pauloski, Barbara Roa; Rademaker, Alfred; Cook, Barbara; Graner, Darlene; Milianti, Frank; Beery, Quinter; Stein, David; Bowman, Julia; Lazarus, Cathy; Heiser, Mary Anne; Baker, Theresa (1992). "Impact of the diagnostic procedure on outcome measures of swallowing rehabilitation in head and neck cancer patients". Dysphagia. 7 (4): 179–186. doi:10.1007/BF02493468. ISSN 0179-051X.
- ↑ Levine, Marc S.; Rubesin, Stephen E. (2017). "History and Evolution of the Barium Swallow for Evaluation of the Pharynx and Esophagus". Dysphagia. 32 (1): 55–72. doi:10.1007/s00455-016-9774-y. ISSN 0179-051X.