Dysphagia barium swallow

Revision as of 21:30, 29 July 2020 by WikiBot (talk | contribs) (Bot: Removing from Primary care)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to navigation Jump to search

Dysphagia Microchapters


Patient Information


Historical Perspective




Differentiating Dysphagia from other Conditions

Epidemiology and Demographics

Risk Factors


Natural History, Complications and Prognosis


Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings


X Ray

Barium Swallow




Echocardiography and Ultrasound

Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Dysphagia barium swallow On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides


American Roentgen Ray Society Images of Dysphagia barium swallow

All Images
Echo & Ultrasound
CT Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Dysphagia barium swallow

CDC on Dysphagia barium swallow

Dysphagia barium swallow in the news

Blogs on Dysphagia barium swallow

Directions to Hospitals Treating Dysphagia

Risk calculators and risk factors for Dysphagia barium swallow

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]


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


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
Barium swallow appearance of DES
Source:By Nevit Dilmen [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)
Case courtesy of Dr Mario Umana, Radiopaedia.org, rID: 38071
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>


  1. 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.
  2. Rosenbek, J. C., Robbins J. A., Roecker, E. B., Coyle, J. L., & Wood, J. L. (1996). A penetration aspiration scale. "Dysphagia, 11," 93-98.
  3. 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.
  4. 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.

Template:WH Template:WS