8ar|um Mea|

ln a bar|um mea| LesL xrav lmaaes are

Laken of Lhe sLomach and Lhe bealnnlna of
duodenum (Lhe bealnnlna of small
lnLesLlne Lhe passaaewav LhaL Lakes food
awav from Lhe sLomach) A barlum meal
LesL ls ofLen performed sLralahL afLer a
barlum swallow LesL
,eLhods
uouble conLrasL
@he meLhod of cholce Lo demonsLraLe mucosal paLLern
lnale conLrasL uses
hlldren slnce lL usuallv ls noL necessarv Lo
demonsLraLe mucosal paLLern
verv lll adulLs Lo demonsLraLe aross paLholoav onlv
8as|c Anatomy
arlum ,eal lndlcaLlons
uvspepsla
WelahL loss
upper abdomlnal mass
CasLrolnLesLlnal haemorrhaae
arLlal obsLrucLlon
arlum ,eal onLralndlcaLlons
ompleLe larae bowel obsLrucLlon
A8lu, ,AL
procedure
onLrasL medlum
ml arlum sulphaLe suspenslon w/v
aLlenL reparaLlon
-ll bv mouLh for 6 hr's prlor Lo examlnaLlon moklna
should be avolded on Lhe dav of Lhe examlnaLlon slnce lL
lncreases aasLrlc moLlllLv
rellmlnarv fllms
-one
@echnlque
A aas produclna aaenL ls swallowed
@he paLlenL Lhen drlnks Lhe barlum whllsL lvlna on hls
lefL slde Lhls prevenLs Lhe barlum from reachlna Lhe
duodenum Loo qulcklv and so obscurlna Lhe areaLer
curve
@he paLlenL Lhen lles suplne and sllahLlv on hls rlahL
slde and Lrendelenbera LllLed Lo brlna Lhe barlum up
aaalnsL Lhe aasLro oesophaaeal [uncLlon Lhls
manoeuvre ls 'screened' Lo check for reflux and Lhe
paLlenL ls asked Lo couah Lo encouraae reflux
poL fllms are Laken lf reflux occurs
An lv ln[ecLlon of a smooLh muscle relaxanL ls
alven
@he paLlenL ls Lhen asked Lo roll onLo hls rlahL
slde Lhen compleLelv over Lo fullv coaL Lhe
sLomach wall Lo flnlsh ln 8AC poslLlon
Position Demonstrates
Supine RAO Antrum and greater curve
Supine Antrum and body
Supine LAO Lesser curve
Supine Left Lateral. (head up
45 degree)
Fundus
Prone uodenal loop
Prone. RAO. Supine.
LAO
uodenal Cap series
rect Fundus
rect (RAO. LAO) uodenal Cap series
rect RAO Swallow Oesophagus
Position Demonstrates
Supine RAO Antrum and greater curve
Supine Antrum and body
Supine LAO Lesser curve
Supine Left Lateral.
(head up 45 degree)
Fundus
Prone uodenal loop
Prone. RAO. Supine.
LAO .
rect RAO. LAO
uodenal Cap series
rect Fundus
rom prone poslLlon Lhe paLlenL lles on Lhe
lefL slde flrsL Lhe suplne Lhen Lo Lhe rlahL slde
Lo prevenL barlum floodlna lnLo Lhe
duodenum
AfLercare
@he paLlenL should be warned hls bowel
moLlons wlll be whlLe for a few davs some
cenLres advlse a mlld laxaLlve for 48 hr's Lo
encouraae Lhe passaae of 'barlum' and reduce
Lhe posslblllLv of lmpacLlon
ompllcaLlons
Leakaae of 'barlum from unsuspecLed
perforaLlon
AsplraLlon
CbsLrucLlon
arlum appendlclLls
lde effecLs of anv oLher druas used