Esophagram or Barium Swallow

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Presentation Description

Diagnostic study of the alimentary canal.

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Presentation Transcript

Esophagram : 

Esophagram Barium Swallow Or Swallowing Test Leslie Brady

Esophagram : 

Esophagram Purpose of Esophagram Indications Anatomy Preparations Positioning Structures Shown

Purpose of the Esophagram : 

Purpose of the Esophagram To study the pharynx To study the proximal esophagus To assess the swallowing process

Indications : 

Indications Dysphagia Odynophagia Heartburn Chest Pain Globus Sensation Cough Aspiration

AnatomyAlimentary Canal : 

AnatomyAlimentary Canal Oral Cavity Pharynx Esophagus Stomach Duodenum and small intestine Large intestine Anus

AnatomyOral Cavity : 

AnatomyOral Cavity

AnatomyAccessory Organs in the Mouth : 

AnatomyAccessory Organs in the Mouth

AnatomyOral Cavity : 

AnatomyOral Cavity

AnatomyPharynx : 

AnatomyPharynx Posterior to the oral cavity About 12.5 cm (5 in.) long Consists of three parts Nasopharynx Oropharynx Laryngopharynx

AnatomyPharynx : 

AnatomyPharynx

Slide 11: 

The act of swallowing is termed Deglutition

Anatomy Esophagus : 

Anatomy Esophagus

AnatomyEsophagus : 

AnatomyEsophagus

Peristalsis : 

Peristalsis

Preparations Patient : 

Preparations Patient Patient is Gowned Take Patient History Explain Procedure

PreparationsRoom : 

PreparationsRoom Prepare the Room Gather Equipment High Density and Fizz Low Density

PositioningRoutine : 

PositioningRoutine RAO Lateral AP (or PA) LAO (Special) Technical Factors 14x17” lengthwise 100-110 kV range

PositioningRAO : 

PositioningRAO Shield Pelvic Region Rotate 35° to 40° Center CR to T5 or T6 Collimate Expose as Patient Swallows

PositioningLateral : 

PositioningLateral Shield Pelvic Region Place Shoulders and Hips in True Lateral Center CR to T5 or T6 Collimate Expose as Patient Swallows

PositioningSwimmer’s Lateral : 

PositioningSwimmer’s Lateral

PositioningAP : 

PositioningAP Shield Pelvic Region Supine Center CR 1” Inferior to Sternal Angle Collimate Expose as Patient Swallows

PositioningLAO : 

PositioningLAO Shield Pelvic Region Rotate 35° to 40° Center CR to T5 or T6 Collimate Expose as Patient Swallows

Structures ShownRAO : 

Structures ShownRAO Esophagus between vertebral column and heart Entire esophagus filled with contrast Upper limbs not superimposed

Structures ShownLateral : 

Structures ShownLateral Esophagus between thoracic spine and heart Entire esophagus filled with contrast Superimpositon of posterior ribs

Structures ShownAP : 

Structures ShownAP Esophagus is superimposed over thoracic spine and heart Entire esophagus filled with contrast Symmetry of SC joints shows no rotation

Structures ShownLAO : 

Structures ShownLAO Esophagus is between hilar region of lungs and thoracic spine Entire esophagus filled with contrast Upper limbs are not superimposed

Structures ShownRAO vs LAO : 

Structures ShownRAO vs LAO