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Related Concept Videos

Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

548
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
548
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

344
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
344
Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

136
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
136
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

217
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
217
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

218
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
218
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

445
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
445

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Related Experiment Video

Updated: Jul 26, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
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Unexpected Barium Aspiration.

Avinash Vangara1, Dedeepya Gullapalli1, Tuong Vi Do2

  • 1Internal Medicine Residency Program, Appalachian Regional Healthcare, Harlan, KY, USA.

Journal of Investigative Medicine High Impact Case Reports
|June 21, 2023
PubMed
Summary
This summary is machine-generated.

A barium esophagram, used for dysphagia, carries aspiration risks. This case highlights barium aspiration in the right middle lobe, a rare location persisting on imaging.

Keywords:
aspirationbariumdiagnostic testingimagingpulmonary critical careradiology

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Area of Science:

  • Radiology
  • Pulmonology
  • Gastroenterology

Background:

  • Barium esophagrams are standard for evaluating dysphagia.
  • Aspiration of barium contrast is a known complication.
  • Typical aspiration sites include the right lower or left lingular lobes.

Observation:

  • A 62-year-old male presented with dysphagia, hoarseness, and weight loss.
  • During a barium esophagram, the patient aspirated contrast material.
  • Initial chest X-ray revealed barium aspiration localized to the right middle lobe with a tree-in-bud pattern.

Findings:

  • The aspirated barium in the right middle lobe showed persistence on chest X-ray three months later.
  • The tree-in-bud appearance suggested bronchiolar involvement.
  • This case demonstrates an atypical and persistent localization of barium aspiration.

Implications:

  • Unusual localization of barium aspiration can occur, challenging typical diagnostic patterns.
  • Persistent contrast may indicate prolonged pulmonary complications.
  • Awareness of rare presentations is crucial for accurate diagnosis and management of barium aspiration.