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C-2324 - "Tricks of the Trade":Maximising diagnostic utility of the barium oesophogram in the functional assessment of the oesophagus

S. Power1, O. O’Connor2, E. Fitzgerald2; 1 NA/IE 2 Cork/IE Type: Educational Exhibit
Area of Interests: Interventional non-vascular, Gastrointestinal tract, Stomach (incl. Esophagus)
Imaging Technique: Fluoroscopy
Procedure: Barium meal
Special Focus: Swallowing disorders
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Learning objectives: This educational exhibit aims to outline a modern approach to the barium oesophogram This should service as a guide to residents and fellows regarding the optiumum technique Simple techniques to maximise diagnostic utility are described.

Background: With the widespread use of endoscopy, and a reduced emphasis on fluoroscopic evaluation of the oesophagus, the barium oesophogram has seen its role in the clinical sphere dwindle. However, the study can provide unique information on the functional integrity of the oesophagus, which is sometimes miss[...]

Findings and procedure details: Prior to the oesophogram History taking by the radiologist prior to test commencement is important to allow a flexible tailored examination. The radiologist should determine the presence and severity of symptoms including: Chest pain Regurgitation Heartburn Liquid versus solid dysphagia Outlin[...]

Conclusion: The barium oesophogram remains a core tool in the functional assessment of the oesophagus A tailored examination using simple, additional techniques outlined above can maximise the utility of this examination.

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References: Neyaz Z, Gupta M, Ghoshal UC. How to perform and interpret timed barium esophagogram. J Neurogastroenterol Motility (2013); 19 (2). 251-56 Baker ME et al. Gastroesophageal reflux disease: Integrating the barium esophagram before and after antireflux surgery.  Radiology (2007); 24[...]

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