Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Upper Gastrointestinal Tract

  • Chapter
Procedures in Gastrointestinal Radiology

  • 73 Accesses

Abstract

There is continuing controversy over whether endoscopy or barium meal should be performed for examination of the upper gastrointestinal (GI) tract [1]. For gastroesophageal reflux disease, the barium swallow study is the preferred initial examination and often the only investigation required [2,3]. Barium swallow better detects motor abnormalities [2], but encoscopy is needed for barium-negative dysphagia and for biopsy of strictures [4]. In acute odynophagia or food impaction, endoscopy should be the initial examination (when possible) because barium destroys the endoscopic view and endoscopy often is required in these patients for foreign body removal. Endoscopy can, however, miss tumors of the gastroesophageal junction. If endoscopy is used as the initial esophageal investigation in a patient with dysphagia and this study is negative, a follow-up barium swallow should be performed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cotton PB, Shorvon PJ (1984). Analysis of endoscopy and radiography in the diagnosis, follow-up and treatment of peptic ulcer disease. Clin Gastroenterol 13:383–403.

    PubMed  CAS  Google Scholar 

  2. Ott DJ, Dodds WJ, Wu WC (1982). Current status of radiology in evaluating gastroesophageal reflux disease. J Clin Gastroenterol 4:365–375.

    Article  PubMed  CAS  Google Scholar 

  3. Ott DJ, Chen YM, Wu WC, Gelfand DW, Munitz HA (1986). Radiographic and endoscopic sensitivity in detecting lower esophageal mucosal ring. AJR 147:261–265.

    PubMed  CAS  Google Scholar 

  4. Farivar M, Perotto JL (1979). Evaluation of dysphagia-esophagoscopy vs. x-ray. Gastrointest Endosc 25:39 (Abstr).

    Google Scholar 

  5. Laufer I, Mullens JE, Hamilton J (1975). The diagnostic accuracy of barium studies of the stomach and duodenum—correlation with endoscopy. Radiology 115:569–573.

    PubMed  CAS  Google Scholar 

  6. Thompson G, Somers S, Stevenson GW (1983). Benign gastric ulcer: a reliable radiologic diagnosis? AJR 141:331–333.

    PubMed  CAS  Google Scholar 

  7. Max MH, West B, Knutson CO (1979). Evaluation of postoperative gastroduodenal symptoms: endoscopy or upper gastrointestinal roentgenography? Surgery 86:578–582.

    PubMed  CAS  Google Scholar 

  8. Janower ML (1986). Hypersensitivity reactions after barium studies of the upper and lower gastrointestinal tract. Radiology 161:139–140.

    PubMed  CAS  Google Scholar 

  9. Hoyt TS, Peet GJ (1985). Allergic reaction during double-contrast upper GI series. AJR 145:653–654.

    PubMed  CAS  Google Scholar 

  10. Obata WG (1972). A double-contrast technique for examination of the stomach using barium sulfate with simethicone. AJR 115:275–280.

    CAS  Google Scholar 

  11. Rubesin SE, Herlinger H (1986). The effect of barium suspension viscosity on the delineation of areae gastricae. AJR 146:35–38.

    PubMed  CAS  Google Scholar 

  12. Rohrmann CA, Acheson MB (1985). Esophageal perforation during double-contrast esophagram. AJR 145:283–284.

    PubMed  Google Scholar 

  13. Herlinger H, Grossman R, Laufer I, Kressel HY, Ochs RH (1980). The gastric cardia in double-contrast study: its dynamic study. AJR 135:21–29.

    PubMed  CAS  Google Scholar 

  14. Kikuchi Y, Levine MS, Laufer I, Herlinger H (1986). Value of flow technique for double-contrast examination of the stomach. AJR 147:1183–1184.

    PubMed  CAS  Google Scholar 

  15. Gardiner GA, Racker DR (1985). Cephalic angled views for detection of occult lesser curvature ulcers. Gastrointest Radiol 10:153–155.

    Article  PubMed  CAS  Google Scholar 

  16. Jacquemet P, Liotta D, Mallet-Guy P (1965). The Early Radiological Diagnosis of Diseases of the Pancreas and Ampulla of Vater. Springfield, IL: Charles C. Thomas.

    Google Scholar 

  17. Heron CW, Lynn AH, Marshall JH, Mason RR (1985). A comparison of paralysing agents in double-contrast barium meal examinations. Clin Radiol 36:391–393.

    Article  PubMed  CAS  Google Scholar 

  18. Stevenson GW, Somers S (1980). Routine double contrast barium meal: appearance of the normal duodenal papillae. Diagn Imag 49:6–14.

    CAS  Google Scholar 

  19. Ott DJ, Kelly RJ, Gelfand DW (1981). Radiographic effects of cold barium suspensions on esophageal motility. Radiology 140:830–833.

    PubMed  CAS  Google Scholar 

  20. Cassel DM, Anderson MF, Zboralske FF (1981). Double-contrast esophagrams: the prone technique. Radiology 139:737–739.

    PubMed  CAS  Google Scholar 

  21. Brombart M (1973). Roentgenology of the esophagus. In: Margulis AR, Burhenne HW (eds), Alimentary Tract Roentgenology, 2d Ed. St. Louis: Mosby, p. 347.

    Google Scholar 

  22. Wiljasalo M, Rissanen P (1966). A new double-contrast method in esophageal roentgenology. Ann Med Intern Fenn 55:77–80.

    PubMed  CAS  Google Scholar 

  23. Gohel VK, Kressel HY, Laufer I (1978). Double-contrast artifacts. Gastrointest Radiol 3:139–146.

    Article  PubMed  CAS  Google Scholar 

  24. Hogan WJ, Dodds WJ, Hoke SE, Reid DP, Kalkhoff RK, Arndorfer RC (1975). Effect of glucagon on esophageal motor function. Gastroenterology 69:160–165.

    PubMed  CAS  Google Scholar 

  25. Linsman JF (1965). Gastroesophageal reflux elicited while drinking water (water siphonage test): its clinical correlation with pyrosis. AJR 94:325–332.

    Google Scholar 

  26. Stevenson G, Robinson PJ (1988). The normal oesophagus: methods of examination. Hiatus hernia, gastroesophageal reflux and other motility disorders. In: Royal College of Radiologists, A Textbook of Radiological Diagnosis, Vol. 4. London: HK Lewis & Co. Ltd, pp. 52–105.

    Google Scholar 

  27. McNally EF, Del Gaudio W (1967). The radiopaque esophageal marshmallow bolus. AJR 101:485–489.

    CAS  Google Scholar 

  28. Somers S, Stevenson GW, Thompson G (1986). Comparison of endoscopy and barium swallow with marshmallow in dysphagia. J Can Assoc Radiol 37:73–75.

    CAS  Google Scholar 

  29. Channer KS, Virjee JP (1985). Oesophageal function tests: are they of value? Clin Radiol 36:493–496.

    Article  PubMed  CAS  Google Scholar 

  30. Danielson KS, Hunter TB (1985). Barium capsules. AJR 144:414.

    PubMed  CAS  Google Scholar 

  31. Benjamin SB, Castell DO (1983). Esophageal causes of chest pain. In: Castell DO, Johnson LF (eds), Esophageal Function in Health and Disease. New York: Elsevier Biomedical, pp. 85–98.

    Google Scholar 

  32. Vessal K, Montal RJ, Larson SM, Chaffee V, James AE (1975). Evaluation of barium and gastrografin as contrast media for the diagnosis of esophageal rupture or perforations. AJR 123:307–319.

    CAS  Google Scholar 

  33. Levine MS, Kressel HY, Laufer I, Herlinger H, Goren R (1984). The tube esophagram: a technique for obtaining a detailed double-contrast examination of the esophagus. AJR 142:293–298.

    PubMed  CAS  Google Scholar 

  34. Stevenson GW (1983). Technique of examination. In: Margulis AR, Burhenne HJ (eds), Alimentary Tract Radiology, 3d Ed, Vol 2. St. Louis: C.V. Mosby, pp. 1699–1719.

    Google Scholar 

  35. Op den Orth JO (1977). Tubeless hypotonic examination of the afferent loop of the Billroth II stomach. Gastrointest Radiol 2:1–5.

    Article  PubMed  Google Scholar 

  36. Shorvon P, Stevenson GW (1986). Should radiologists perform endoscopy? AJR 147:1078–1081.

    PubMed  CAS  Google Scholar 

  37. Rozen P, Fireman Z, Gilat T (1982). The causes of hypoxemia in position of elderly patients during endoscopy. Gastrointest Endosc 28:243–246.

    Article  PubMed  CAS  Google Scholar 

  38. Cotton PB, Williams CB (1982). Practical Gastrointestinal Endoscopy, 2d Ed. Oxford: Blackwell Scientific.

    Google Scholar 

  39. Blackstone MO (1984). Endoscopic Interpretation. New York: Raven Press.

    Google Scholar 

  40. Silvis SE (1985). Therapeutic Gastrointestinal Endoscopy. New York: Igaku Shoin.

    Google Scholar 

  41. Siebens AA, Linden P (1985). Dynamic imaging for swallowing reeducation. Gastrointest Radiol 10:251–253.

    Article  PubMed  CAS  Google Scholar 

  42. Jones B, Kramer SS, Donner MW (1985). Dynamic imaging of the pharynx. Gastrointest Radiol 10:213–224.

    Article  PubMed  CAS  Google Scholar 

  43. Logemann J (1983). Evaluation and Treatment of Swallowing Disorders. San Diego: College Hill Press.

    Google Scholar 

  44. Sorin R, Somers S, Austin W, Bester S (1988). The influence of videofluoroscopy on the management of the dysphagic patient. Dysphagia 2:127–135.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. St. Joseph’s Hospital, McMaster University, L8N 4A6, Hamilton, Ontario, Canada

    Julian Dobranowski MD (Staff Radiologist, Assistant Clinical Professor)

  2. University of Toronto, M5G 1X8, Toronto, Ontario, Canada

    David A. Stringer MD (Head, Ultrasound and Gastrointestinal Radiology, The Hospital for Sick Children, Associate Professor)

  3. Department of Radiology, McMaster University, L8N 3Z5, Hamilton, Ontario, Canada

    Sat Somers MD (Head, Gastrointestinal Radiology, Chedoke-McMaster Hospitals, Associate Professor)

  4. Department of Radiology, Chedoke-McMaster Hospitals and McMaster University, L8N 3Z5, Hamilton, Ontario, Canada

    Giles W. Stevenson MD (Professor and Chairman)

Authors
  1. Julian Dobranowski MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David A. Stringer MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sat Somers MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Giles W. Stevenson MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Dobranowski, J., Stringer, D.A., Somers, S., Stevenson, G.W. (1990). Upper Gastrointestinal Tract. In: Procedures in Gastrointestinal Radiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3308-4_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-3308-4_2

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7961-7

  • Online ISBN: 978-1-4612-3308-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation