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

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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.

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References

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

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  3. 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):49–58

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

  5. 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):738–745

    Article  PubMed  Google Scholar 

  6. 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):768–775

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

  8. 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):586–597

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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):1009–1015

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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):335–342

    Article  PubMed  Google Scholar 

  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):328–335

    Article  PubMed  Google Scholar 

  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):2390–2397

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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):409–413

    Article  Google Scholar 

  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):1720–1726

    Article  PubMed  Google Scholar 

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

    Article  Google Scholar 

  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):545–548

    Article  CAS  PubMed  Google Scholar 

  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):177–184

    Article  PubMed  Google Scholar 

  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):415–420

    Article  Google Scholar 

  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):119–127

    Article  PubMed  Google Scholar 

  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):1185–1193

    Article  Google Scholar 

  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):1128–1135

    Article  PubMed  Google Scholar 

  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):935–943

    Article  CAS  PubMed  Google Scholar 

  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):765–770

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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):1807–1816

    Article  CAS  PubMed  Google Scholar 

  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):291–296

    Article  PubMed  Google Scholar 

  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):329–339

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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):1464–1468

    Article  Google Scholar 

  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 188:745–750

    Article  Google Scholar 

  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 16:283–289

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Gastrointestinal Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA

    Daniel T. Dempsey

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  1. Daniel T. Dempsey
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Correspondence to Daniel T. Dempsey.

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Dr. Dempsey declares that he has no conflicts of interest.

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This article does not contain any studies with human participants or animals performed by the author.

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Dempsey, D.T. Barium upper GI series in adults: a surgeon’s perspective. Abdom Radiol 43, 1323–1328 (2018). https://doi.org/10.1007/s00261-018-1618-9

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  • DOI: https://doi.org/10.1007/s00261-018-1618-9

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