Items tagged “barium”
11 results found
Article
Peptic ulcer disease
Peptic ulcer disease (PUD) encompasses a number of entities, united by the presence of mucosal ulceration secondary to the effects of gastric acid. Since the recognition of Helicobacter pylori as a common causative agent and the development of powerful anti-acid medications, peptic ulcer disease...
Article
Kirklin complex
The Kirklin complex is a combination of the Carman meniscus sign associated with a radiolucent semicircular zone surrounding the elevated ridge of the ulcer. This complex is seen in cases of gastric adenocarcinoma on barium studies.
History and etymology
Byrl Raymond Kirklin, (1888-1957 2) an ...
Article
Small bowel follow-through
Small bowel follow-through is a fluoroscopic technique designed to obtain high-resolution images of the small bowel. The motility of the small bowel can also be grossly evaluated.
Indications
The small bowel follow-through can be useful for the evaluation of:
strictures
obstruction
divertic...
Article
Flocculation
Flocculation refers to the breakdown of a barium suspension during a fluoroscopic study.
The small bowel environment eventually separates out a barium suspension, and this can occur during the normal course of a barium study (15 minutes to three hours) or as a feature of certain pathological en...
Article
Areae gastricae
Areae gastricae are a normal finding on double contrast images of the stomach.
Radiographic features
fine reticular network of barium-coated grooves between 1-5 mm islands/areas of gastric mucosa
may be seen in ~70-80% of patients if there is adequate high-density barium coating of the stomac...
Article
Gastric antral web
Gastric antral webs are a ring of mucosa in the distal stomach (gastric antrum) that can lead to gastric outlet obstruction. A circumferential ring of mucosa has also been termed a "gastric antral diaphragm".
Epidemiology
Gastric antral webs are rare. There is an association with trisomy 21 an...
Article
Fluoroscopic evaluation of esophagectomy
Fluoroscopic evaluation of esophagectomy is an important study, given the high rate of complication following esophagectomy (~10-20% rate of leak). Although the approach will differ slightly depending on the type of esophagectomy performed, the principles are similar.
Procedure
Preprocedural e...
Article
Gastrointestinal nodular lymphoid hyperplasia
Gastrointestinal nodular lymphoid hyperplasia is a type of nodular lymphoid hyperplasia that can be found elsewhere in the body. It is formed out of gut-associated lymphoid tissue (GALT), and most often is a diagnostic dilemma for radiologists in the stomach and terminal ileum.
Pathology
Gut-a...
Article
Water siphon test
The water siphon test may be performed as part of a barium swallow to assess for gastro-esophageal reflux. It is performed in the supine RPO position with the patient drinking water continuously. The test is said to be positive if there is visible barium reflux in the esophagus, and is more sens...
Article
Stomal ulcer
Stomal ulcers may occur after surgery for peptic ulcer disease, and are more common in settings of a retained gastric antrum or an incomplete vagotomy (occurrences which are not common with modern surgical technique). There is also a higher risk with Zollinger-Ellison syndrome.
Radiographic fea...
Article
HIV esophagitis
HIV esophagitis is a possible cause of odynophagia in immunosuppressed patients with HIV.
Epidemiology
The actual incidence and prevalence of idiopathic esophagitis of HIV are unknown. Most of the patients have AIDS and a CD4 count <100 cells/mm3 3.
Clinical presentation
Principal clinical ...
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