Barium Studies

Barium Studies

• Apple core sign in barium enema is seen with Colon Carcinoma.
• “Bird of Prey” sign is seen in the radiographic barium examination of Sigmoid Volvulus.
• On radiography widened duodenal ‘C’ loop with irregular mucosal pattern on upper gastrointestinal barium series is most likely due to Duodenal Ulcer.
• Corkscrew esophagus on barium swallow is seen in Diffuse Esophageal Spasm.
• Barium swallow shows a beak like appearence in Achalasia Cardia.
• The lead pipe appearance of the colon on a barium enema is seen in Crohn’s involvement of colon.
• Diffuse esophageal dilatation on barium swallow is seen in Achalasia and Trypanosomiasis.
• Ileocecal tuberculosis presents with stricture of terminal ileum, widening of ileocecal angle and pulled up contracted cecum on barium study.
• Main indications for water soluble contrast barium enema are neonatal low gastrointestinal obstruction, suspected post -necrotizing enterocolitis strictures, Hirschsprung’s disease and after colonic surgery.
• On barium swallow the grade IV esophageal varices appear as mucosal folds below the carina.
• Second swallowing in barium meal studies is found in Pharyngeal Pouch.
• Most useful investigation in sliding hernia in female is Barium Meal.
• Colonic diverticulosis is best diagnosed by Barium Enema.
• The area of the colon which is least visualized by barium studies is Sigmoid Colon.
• In intestinal obstruction, investigations needed is Intestinal Barium Meal.
•  Intusssusception is usually relieved by Barium Enema.
• Complete Rx of intussception is indicated by free passage of barium in the terminal ileum.
• A lady presented with non progressive dysphagia only for solids. Barium study showed proximal esophageal dilatation with distal constriction. The most likely diagnosis is Lower Esophageal Ring.
• A young patient presents with history of dysphagia more to liquid than solids. The first investigation you will do is Barium Swallow.
• Substance utilized for barium meal follow through study is Barium Sulphate.
• ‘Thumb print’ appearance on Barium enema is found in Bowel Ischemia.
• ‘Carman meniscus sign’ in barium meal is pathognomic of Malignant Gastric Ulcer.
• Reversed “3” sign on barium studies is seen in Carcinoma of head of Pancreas.
•  Saw tooth’ appearance on barium enema may be seen in Diverticular Disease of Colon.
• Barium meal picture of carcinoma stomach shows: Filling defect , Loss of rugosity , Small capacity of stomach.
• Coiled spring appearance on barium enema is seen in Intussception.
• ‘Scalloping’ of the edge of sigmoid colon on barium enema seen in Pneumatosis Intestinalis.
• Pipe stem appearance in barium enema is seen in Ulcerative Colitis.
• The X-ray finding of small intestinal malabsorption syndrome is Flocculation of Barium.
• Left atrial enlargement is best seen with Barium swallow right anterior oblique view.
• Posterior displacement of the oesophagus on barium meal in left atrial enlargement.
• Barium meal is a less useful diagnostic procedure in a case of acute haematemesis.
• Common features of malignant gastric ulcer on barium meal : Carman’s meniscus sign  , Radiating folds which do not reach the edge of the ulcer ,Lesser curvature ulcer with a nodular rim.
• On barium swallow posterior indentation is seen due to Aberrant right subclavian.