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An upper gastrointestinal series, also called a barium swallow, barium study, or barium meal, is a series of radiographs used to examine the gastrointestinal tract for abnormalities. A contrast medium , usually a radiocontrast agent such as barium sulfate mixed with water, is ingested or instilled into the gastrointestinal tract, and X-rays are ...
Before FEESST was invented, all tests of swallowing, be they X-ray based tests (Modified Barium Swallow (MBS) [8] or endoscopy-based tests (Fiberoptic Endoscopic Evaluation of Swallowing (FEES) [9] [10] solely looked at the motor component of swallowing without examining the sensory aspect of a swallow or the ability to feel.
A patient will most likely receive a Modified Barium swallow (MBS). Different consistencies of liquid and food mixed with barium sulfate are fed to the patient by spoon, cup or syringe, and x-rayed using videofluoroscopy. A patient's swallowing then can be evaluated and described.
Heller myotomy is a surgical procedure [1] in which the muscles of the cardia (lower esophageal sphincter or LES) are cut, allowing food and liquids to pass to the stomach.It is used to treat achalasia, a disorder in which the lower esophageal sphincter fails to relax properly, making it difficult for food and liquids to reach the stomach.
Following a myotomy, patients generally experience improvement in symptoms, though the degree of recovery depends on the underlying condition and surgical approach. For example, after a Heller myotomy, patients often undergo a modified diet and may need follow-up studies such as a barium swallow to ensure effective swallowing.
Diagnostic procedures commonly performed by a speech pathologist to evaluate dysphagia include Fiberoptic Endoscopic Evaluation of Swallowing and Modified Barium Swallow Study. Occupational Therapists may also offer swallowing rehabilitation services as well as prescribing modified feeding techniques and utensils.
Modified barium swallow – videofluoroscopic swallow (fluoroscopy). A lateral video X-ray that provides objective information on bolus transport, safest consistency of bolus, and possible head positioning and maneuvers that may facilitate swallow function depending on each individual's anatomy and physiology.
The use of barium during pregnancy is safe for the baby; however, X-rays may result in harm. [4] Barium sulfate suspension is typically made by mixing barium sulfate powder with water. [1] It is a non-iodinated contrast media. [5] Barium sulfate has been known since the Middle Ages. [6] In the United States it had come into common medical use ...