Top

Published in:

01-06-2018 | Invited article

Barium upper GI series in adults: a surgeon’s perspective

Author: Daniel T. Dempsey

Published in: Abdominal Radiology | Issue 6/2018

Abstract

Barium upper GI series performed by an interested and competent radiologist is still a very useful study to evaluate a variety of esophagogastric disorders. It usually provides information complementary to upper endoscopy and other foregut studies. Barium upper GI series is an important part of the diagnostic workup for gastroesophageal reflux disease, hiatal hernia, and esophageal motility disorders including achalasia. It is also an important part of the follow-up after operation for these common problems and after other operations such as resection or bariatric surgery. The GI radiologist should be an important member of the foregut surgery team.

Levine MS, Rubesin SE, Laufer I (2009) Barium studies in modern radiology: do they have a role? Radiology 250(1):18–22CrossRefPubMed

Levine MS, Rubesin SE (2005) Diseases of the esophagus: diagnosis with esophagography. Radiology 237(2):414–427CrossRefPubMed

Jaffer NM, Ng E, Au FW, Steele CM (2015) Fluoroscopic evaluation of oropharyngeal dysphagia: anatomic, technical, and common etiologic factors. Am J Roentgenol 204(1):49–58CrossRef

Hoy M, Domer A, Plowman EK, et al. (2013) Causes of dysphagia in a tertiary-care swallowing center. Ann Otol Rhinol Laryngol 122(5):335–338CrossRefPubMed

Gullung JL, Hill EG, Castell DO, Martin-Harris B (2012) Oropharyngeal and esophageal swallowing impairments: their association and the predictive value of the modified barium swallow impairment profile and combined multichannel intraluminal impedance-esophageal manometry. Ann Otol Rhinol Laryngol 121(11):738–745CrossRefPubMed

Carucci LR, Turner MA, Yeatman CF (2015) Dysphagia secondary to anterior cervical fusion: radiologic evaluation and findings in 74 patients. Am J Roentgenol 204(4):768–775CrossRef

Bleier BS, Levine MS, Mick R, et al. (2007) Dysphagia after chemoradiation: analysis by modified barium swallow. Ann Otol Rhinol Laryngol 116(11):837–841CrossRefPubMed

Jobe BA, Richter JE, Hoppo T, et al. (2013) Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the esophageal diagnostic advisory panel. J Am Coll Surg 217(4):586–597CrossRefPubMed

Lacy BE, Weiser K, Chertoff J, et al. (2010) The diagnosis of gastroesophageal reflux disease. Am J Med 123(7):583–592CrossRefPubMed

10.

Levine MS, Carucci LR, DiSantis DJ, et al. (2016) Consensus statement of society of abdominal radiology disease-focused panel on barium esophagography in gastroesophageal reflux disease. Am J Roentgenol 207(5):1009–1015CrossRef

11.

Mattioli S, Lugaresi ML, Costantini M, et al. (2008) The short esophagus: intraoperative assessment of esophageal length. J Thorac Cardiovasc Surg 136(4):834–841CrossRefPubMed

12.

Hunt EB, Ward C, Power S, et al. (2017) The potential role of aspiration in the asthmatic airway. Chest 151(6):1272–1278CrossRefPubMed

13.

D’Alessio MJ, Rakita S, Bloomston M, et al. (2005) Esophagography predicts favorable outcomes after laparoscopic Nissen fundoplication for patients with esophageal dysmotility. J Am Coll Surg 201(3):335–342CrossRefPubMed

14.

Rohof WO, Hirsch DP, Kessing BF, Boeckxstaens GE (2012) Efficacy of treatment for patients with achalasia depends on the distensibility of the esophagogastric junction. Gastroenterology 143(2):328–335CrossRefPubMed

15.

Park YM, Jeon HH, Park JJ, et al. (2015) Correlation between timed barium esophagogram and esophageal transit scintigraphy results in Achalasia. Dig Dis Sci 60(8):2390–2397CrossRefPubMed

16.

Varghese TK, Marshall B, Chang AC, et al. (2007) Surgical treatment of epiphrenic diverticula: a 30 year experience. Ann Thorac Surg 84:1801–1809CrossRefPubMed

17.

Prabhakar A, Levine MS, Rubesin S, Laufer I, Katzka D (2004) Relationship between diffuse esophageal spasm and lower esophageal sphincter dysfunction on barium studies and manometry in 14 patients. Am J Roentgenol 183(2):409–413CrossRef

18.

Mariette C, Finzi L, Fabre S, et al. (2003) Factors predictive of complete resection of operable esophageal cancer: a prospective study. Ann Thorac Surg 75(6):1720–1726CrossRefPubMed

19.

Winant AJ, Gollub MJ, Shia J, et al. (2014) Imaging and clinicopathologic features of esophageal gastrointestinal stromal tumors. Am J Roentgenol 203(2):306–314CrossRef

20.

Upponi S, Ganeshan A, D’Costa H, et al. (2008) Radiological detection of post-oesophagectomy anastomotic leak - a comparison between multidetector CT and fluoroscopy. Br J Radiol 81(967):545–548CrossRefPubMed

21.

Cooke DT, Lin GC, Lau CL, et al. (2009) Analysis of cervical esophagogastric anastomotic leaks after transhiatal esophagectomy: risk factors, presentation, and detection. Ann Thorac Surg 88(1):177–184CrossRefPubMed

22.

Swanson JO, Levine MS, Redfern RO, Rubesin SE (2003) Usefulness of high-density barium for detection of leaks after esophagogastrectomy, total gastrectomy, and total laryngectomy. Am J Roentgenol 181(2):415–420CrossRef

23.

Carucci LR, Turner MA, Conklin RC, et al. (2006) Roux-en-Y gastric bypass surgery for morbid obesity: evaluation of postoperative extraluminal leaks with upper gastrointestinal series. Radiology 238(1):119–127CrossRefPubMed

24.

Levy JL, Levine MS, Rubesin SE, et al. (2016) Findings of esophagography for 25 patients after peroral endoscopic myotomy for Achalasia. Am J Roentgenol 207(6):1185–1193CrossRef

25.

Sternbach JM, El Khoury R, Teitelbaum EN, et al. (2015) Early esophagram in per-oral endoscopic myotomy (POEM) for achalasia does not predict long-term outcomes. Surgery 158(4):1128–1135CrossRefPubMed

26.

Kostic SV, Rice TW, Baker ME, et al. (2000) Timed barium esophagogram: a simple physiologic assessment for achalasia. J Thorac Cardiovasc Surg 120(5):935–943CrossRefPubMed

27.

Vaezi MF, Baker ME, Achkar E, Richter JE (2002) Timed barium oesophagram: better predictor of long term success after pneumatic dilation in achalasia than symptom assessment. Gut 50(6):765–770CrossRefPubMedPubMedCentral

28.

Boeckxstaens GE, Annese V, des Varannes SB, (European Achalasia Trial Investigators, et al. (2011) Pneumatic dilation versus laparoscopic Heller’s myotomy for idiopathic achalasia. N Engl J Med 364(19):1807–1816CrossRefPubMed

29.

Dallemagne B, Kohnen L, Perretta S, et al. (2011) Laparoscopic repair of paraesophageal hernia. Long-term follow-up reveals good clinical outcome despite high radiological recurrence rate. Ann Surg 253(2):291–296CrossRefPubMed

30.

Baker ME, Einstein DM, Herts BR, et al. (2007) Gastroesophageal reflux disease: integrating the barium esophagram before and after antireflux surgery. Radiology 243(2):329–339CrossRefPubMed

31.

Lidor AO, Kawaji Q, Stem M, et al. (2013) Defining recurrence after paraesophageal hernia repair: correlating symptoms and radiographic findings. Surgery 154(2):171–178CrossRefPubMed

32.

Wehrli NE, Levine MS, Rubesin SE, Katzka DA, Laufer I (2007) Secondary achalasia and other esophageal motility disorders after laparoscopic Nissen fundoplication for gastroesophageal reflux disease. Am J Roentgenol 189(6):1464–1468CrossRef

33.

Lockhart ME, Tessler FN, Canon Cl, et al. (2007) Internal hernia after gastric bypass: sensitivity and specificity of seven CT signs with surgical correlation and controls. Am J Roentgenol 188:745–750CrossRef

34.

Patel RY, Baer JW, Texeira J, et al. (2009) Internal hernia complications of gastric bypass surgery in the acute setting: spectrum of imaging findings. Emerg Radiol 16:283–289CrossRefPubMed

Title: Barium upper GI series in adults: a surgeon’s perspective
Author: Daniel T. Dempsey
Publication date: 01-06-2018
Publisher: Springer US
Published in: Abdominal Radiology / Issue 6/2018
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-018-1618-9

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Barium upper GI series in adults: a surgeon’s perspective

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2018

Esophageal abnormalities in gastroesophageal reflux disease

Thread like calcifications in mesenteric phlebosclerosis

Low kV versus dual-energy virtual monoenergetic CT imaging for proven liver lesions: what are the advantages and trade-offs in conspicuity and image quality? A pilot study

Feasibility and outcomes of percutaneous thermal ablation of hepatocellular carcinoma in a transplanted allograft

Contrast-enhanced ultrasonography for assessment of tubular atrophy/interstitial fibrosis in immunoglobulin A nephropathy: a preliminary clinical study

Mucinous cystic neoplasms of the pancreas: high-resolution cross-sectional imaging features with clinico-pathologic correlation

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page