MEDRADSC 2I03 Lecture Notes - Lecture 3: Tracheoesophageal Fistula, Esophageal Varices, Gastroesophageal Reflux Disease
28 Jul 2019
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Barium swallow or esophagram: patient preparation: no preliminary prep unless combined w a barium meal/stomach, examination: hospital gown; remove all clothing & anything metallic b/n mouth & waist. Achalasia aka cardiospasm (spasm of distal end of the esophagus) An outpouching area where fluid or food can get caught - impedes patients ability to swallow) Very small child; vertebral bodies do not have much size. 2nd image is showing a type of fistula. No pt prep for esophagram bc its usually empty; only time pt should be given preparation is if it"s combined w stomach. Patient erect; rao/lpo (lpo = left aspect is against the detector, rao = right aspect against the detector) 35- 40 degrees oblique to not superimpose esophagus & spine. Rapid sequence imaging (watches contrast go through esophagus) of upper & lower esophagus; done in real time w fluoro (lies in the land b/n plain x-ray & ct image, closer to an x-ray)
