BARIUM MEAL
MATHEW
INTRODUCTION
• It is Radiographic examination of upper
gastrointestinal tract and proximal small
bowel.
• Barium swallow is performed to diagnose
structural or functional abnormalities of the
oesophagus, stomach and duodenum by using
the barium sulphate contrast media.
• It may be performed as a single or double
• Single contrast study- evaluate stomach and
duodenum disorders and abnormality.
• Double contrast study – evaluate the mucosal
details.
ANATOMY
• The stomach is a J shaped muscular organ located
on the left side of the upper abdomen.
• The stomach is divided into four sections
• Cardia (lower oesophagus sphincter)
• Fundus (upper part of stomach)
• Body (central part of the stomach)
• Pylorus ( it connects the duodenum)
INDICATION CONTRAINDICATION
• Lack of appetite • Suspected perforation
(anorexia) • Suspected fistula
• Epigastric pain • Suspected pregnancy
• Dyspepsia • Complete large bowel
• Malrotation obstruction
• Suspected hiatus hernia
• Obstruction
• Gastroesophageal reflux
EQUIPMENT
• Fluoroscopic unit with tilting table attached image
intensified or spot film device
• Thin density of barium sulphate suspension for
single contrast study.
• Thick density of barium sulphate suspension for
double contrast study.
• Effervescent powder (gas producing agent) for
double contrast study.
PATIENT PREPARATION
• Ask the patient to take low residue diet for two days prior to
the examination.
• Laxative may be given to the patient , the night before
examination.
• Fasting may be employed for 4 hours . Ask the patient not to
eat or drink after midnight .
• On the day of examination describe the whole procedure to
patients.
• Technologist should obtain consent from patient for permission
of procedure
