Abstract
A 6-hour upright abdominal X-ray film, taken after ingestion of a standardized breakfast meal tagged with barium, is very helpful in properly evaluating gastric outlet stenosis and gastric retention. This X-ray may indicate outlet stenosis, with impairment of gastric emptying in the absence of symptoms or typical findings by conventional X-ray examination. It may also be used to evaluate improvement in gastric emptying after medical therapy of manifest abnormal retention. Thus, this simple procedure has diagnostic and prognostic value, and should be used in conjunction with X-ray examination and fiberoptic gastroscopy.
Similar content being viewed by others
References
Stempien SJ, Dagradi AE, Steinsapir LJ: Intractable duodenal ulcer: objective evaluation as a basis for surgical selection. Amer J Dig Dis 8:484–491, 1963
Stempien SJ, Madigan JJ, Dagradi AE: Fiberoptic gastroscopy in benign pyloroduodenal stenosis. Gastrointestinal Endoscopy 14:194–196, 1968
Rhodes J, Goodall P, Apsimon HT: Mechanics of Gastroduodenal Emptying. Gut 7:515–520, 1966
Griffith GH, Owen GM, Campbell H, et al: Gastric emptying in health and in gastroduodenal disease. Gastroenterology 54:1–7, 1968
Roth HP, Liebowitz D: Pyloric obstruction in peptic ulcer. Ann Intern Med 40:11–25, 1954
Goldstein H, Janin M, Schapiro M, et al: Gastric retention associated with gastroduodenal disease. Amer J Dig Dis 11:887–897, 1966
Goldstein H, Boyle J: The saline load test—a bedside evaluation of gastric retention. Gastroenterology 49:375–380, 1965
Stordy SN, Greig JH, Bogoch A: The steak and barium meal. Amer J Dig Dis 14:463–469, 1969
Raskin HF: The application of the barium burger motility study in clinically significant gastroduodenal obstruction not recognized by conventional roentgenologic studies. Gastroenterology 58:986, 1970, abstr
Author information
Authors and Affiliations
Additional information
The authors would like to thank Marvin Smith, technician; Elaine Jewett, secretary; and Timothy Dodge, illustrator, for their invaluable assistance. The cooperation of the Radiology Service, so essential to this study, is much appreciated.
Rights and permissions
About this article
Cite this article
Stempien, S.J., Tester, R.J. & Dagradi, A.E. Six-hour food and barium retention test. Digest Dis Sci 16, 395–402 (1971). https://doi.org/10.1007/BF02235083
Issue Date:
DOI: https://doi.org/10.1007/BF02235083