What are the precautions for upper gastrointestinal tract barium meal radiography

Upper gastrointestinal tract barium meal radiography is a conventional diagnostic method. It mainly involves swallowing a paste of barium sulfate (contrast agent). When the barium sulfate passes through the esophagus into the stomach and duodenum, possible diseases are diagnosed during the development process. There are many precautions that need to be taken. So, what are the precautions for upper gastrointestinal tract barium meal radiography? Let’s take a closer look at it below.

1. Through questioning, roughly determine whether the lesion is in the esophagus, stomach or duodenum and roughly determine the nature of the disease.

2. Position the patient during examination, with the patient's comfort as the priority.

3. Pay attention to the first one or two barium examinations. Because the upper gastrointestinal tract has good tension and less secretion at this time, patients are often more cooperative.

4. Check general parts systematically, don’t just go through the motions; check key parts repeatedly, don’t just go through the motions. The so-called systematic examination is to check all parts from the esophagus to the duodenum. The key areas refer to the sites where lesions are prone to occur, such as the middle esophagus, cardia, lesser curvature of stomach, gastric antrum, duodenal bulb and other parts. We must overcome difficulties and strive to identify difficult areas, such as the cardia.

5. To locate lesions, make full use of body position and multi-axis fluoroscopy. In addition to observation from all aspects, differential diagnosis also requires repeated observation in the same position (such as differentiation between antral gastritis and invasive antral carcinoma).

6. Palpation should be performed with both hands and eyes. Palpation should be used to observe mucosal folds and half-filling and full filling, especially the observation of mucosal folds.

7. When you find X-ray signs that are difficult to explain, think again and recheck if necessary.

8. The purpose of the reexamination is to see the emptying of the upper segment and the filling of the lower segment. In order to differentiate between functional and organic lesions, it is very important to conduct follow-up examinations (such as whether there is pyloric obstruction).

The above is an introduction to the precautions for upper gastrointestinal tract barium meal radiography. I hope it will be helpful to everyone. Upper gastrointestinal tract barium meal radiography is not a very complicated examination method. As long as you follow the doctor's guidance, follow the steps, and pay attention to these matters, you can basically complete the examination smoothly. In addition, it is best to choose a regular hospital for upper gastrointestinal tract barium meal examination.