Relevance of Barium Studies in an Era of Cross-Sectional Imaging in a Low Resource Economy

Authors

  • Osho E.S Radiology Department of the University of Medical Sciences, Ondo State
  • Fatukasi J.I Radiology Department of the University of Medical Sciences, Ondo State
  • Oyamakinde S.O Radiology Department of the University of Medical Sciences, Ondo State
  • Ogunsemoyin A.O Radiology Department of the University of Medical Sciences, Ondo State
  • Bello A.O Radiology Department of the University of Medical Sciences, Ondo State

DOI:

https://doi.org/10.47672/ejhs.1449

Keywords:

Barium, Ultrasonography, Computed Tomography, Endoscopy

Abstract

Purpose: The demand for barium tests has steadily decreased since the development of contemporary imaging technology, for a variety of reasons, in the current era of cancer. It is crucial to note right now that barium exams will never be unnecessary. Barium exams have largely been superseded by a number of advanced imaging modalities in recent years, including high resolution ultrasonography, endoscopy, colonoscopy, computed tomography (CT scan), magnetic resonance imaging (MRI), and defecography. Barium swallows still outperform endoscopy, manometry, and 24-hour esophageal pH monitoring in the assessment of motility issues, sub-mucosal lesions, and extrinsic pathology even though these diagnostic techniques are equally helpful in the evaluation of esophageal illnesses. The target is to maintain the traditional barium study method for the patient's benefit and proper care, as well as to keep it alive. The objective is to safeguard barium radiology for the high standard of patient care rather than to "save" barium exams only to maintain this technology. The main aim of this study is to review the various forms of barium studies

Methodology: Relevant databases such as PubMed, Google Scholar and Embase to search for literature related to barium studies and cross sectional imaging were used for this study. Search strategy including keywords related to barium studies, cross-sectional imaging and low resource economies. This may include terms such as barium swallow, barium meal, computed tomography, magnetic resonance imaging.

Findings: Conventional Barium examinations still have a purpose in determining the state of the mucosa, diameter of the lumen, degree, and type of obstruction even though CT and MRI have essentially superseded them. Additionally, barium offers live data on intestinal transit duration and motility. On a CT scan, these characteristics are not visible

Recommendations: To prevent this modality from going extinct and ultimately harming patients, teaching institutions should encourage radiologists to become conversant with Barium studies.

 

 

 

 

Downloads

Download data is not yet available.

Author Biographies

Osho E.S, Radiology Department of the University of Medical Sciences, Ondo State

 

 

Fatukasi J.I, Radiology Department of the University of Medical Sciences, Ondo State

 

 

Oyamakinde S.O, Radiology Department of the University of Medical Sciences, Ondo State

 

 

Ogunsemoyin A.O, Radiology Department of the University of Medical Sciences, Ondo State

 

 

Bello A.O, Radiology Department of the University of Medical Sciences, Ondo State

 

 

References

A Mahajan. Status of Barium studies in Present era: Are they a History? Poster no C-3252, ECR 2010.

Casciani E, Vincentiis CD, Gualdi G. Small bowel imaging of inflammatory bowel disease. World J Radiol. 2015 Aug 28;7(8):198-201.

Chen A, Tafti D, Tuma F. Barium Swallow. 2022 Feb 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. PMID: 29630228.

Debi U, Sharma M, Singh L, Sinha A. Barium esophagogram in various esophageal diseases: A pictorial essay. Indian J Radiol Imaging. 2019 Apr-Jun;29(2):141-154.

Dhamajia E, Chandan D, Srivastava D. Esophagus. Spectrum of pathology on Barium swallow. European society of Radiology, 2013

Emanuele C, Poula C, Giovanni DN, Salvatore O, Gianfranco G, Salvatore C. Barium studies . 2015, Springer International Publishing Switzerland

Gourtsoyiannisn, Grammatikalces J, Papamastorakris Get al. imaging of small intestinal Crohns disease: Comparison of MR Enteroclysis and conventional examination. Europ Radiol. 16:1915-1925. 2006.

Gupta S, Levine MS, Rubesin SE, Katzka DA, Laufer I. Usefulness of barium studies for differentiating benign and malignant strictures of the esophagus. AJR Am J Roentgenol. 2003; 180:737-44

Halpert RD, Feczko PJ, Spickler EM, Ackerman LV. Radiological assessment of dysphagia with endoscopic correlation. Radiology. 1985; 157:599-602.

Ichiro Ogata, Yasuyuki Komohara,Yasuyuki Yamashita et al. CT evaluation of gastric lesions with three dimensional display and interactive virtual endoscopy : Comparison with conventional Barium study and endoscopy. AJR 1999; 172:1263-1270

Jaffer NM, Ng E, Au FW, Steele CM. Fluoroscopic evaluation of oropharyngeal dysphagia: anatomic, technical, and common etiologic factors. AJR Am J Roentgenol. 2015 Jan;204(1):49-58.

Kalpana S, Chezian . Evaluation of Barium Studies and its Current Role in the Era of Cross Sectional Radiography - Single Institute Experience. Indian journal of research. 2016

Levine MS, Rubesin SE, Laufer I. Barium esophagography: A study for all seasons. Clin Gastroenterol Hepatol. 2008; 6:11-25.

Levine MS, Rubesin SE, Laufer I. Barium studies in modern radiology: Do they have a role? Radiology. 2009; 250:18-22.

Levine MS, Yee J. History, evolution, and current status of radiologic imaging tests for colorectal cancer screening. Radiology. 2014;273(2 Suppl):S160-80.

Luetdke BA, Levine MS, Stephen ER, Donald SW, Laufer I. Radiologic diagnosis of benign esophageal structure, A pattern approach; Radiographic, 2003

Mahajan A, Desai S, Sable NP, Thakur MH. Status of barium studies in the present era of oncology: Are they a history? Indian J Med Paediatr Oncol. 2016 Oct-Dec;37(4):223-226.

Marc .S.Levin MD,Stephen E Rubesin ,MD,Igor Laufer ,MD Barium studies in modern radiology Do they have a role? Radiology 2009; 250:18-22.

Medscape.com; Oesophageal cancer on single contrast barium swallow, Ulcerative colitis on single contrast barium enema

Minoridi LM, Veechioli A, Guidi L et al. Multidetector CT enteroclysis versus Barium enteroclysis with methyl celluose in patients with suspected small bowel disease .Europ Radiol.16:1527-1536.2006.

Pinterest; Linitis listica image on barium meal and follow through

Racheal B. Michelle MM, Mark DL, Jason AP, Sanyal R, Jessica GZ. Contrast enema examination technique and essential findings. Radiographic 2018; 38:90-1

Radiopedia.com; Sclerodama image on barium meal and follow through

Researchgate.com; Oesophageal stricture on single contrast barium swallow, Crohn's disease on double contrast enema, Oesophageal cancer on single contrast.

Rubesin SE, Levine MS, Laufer I, Helinger H. Double contrast enema examination technique, Radiology, 2000

Stephen C. Richard N. A guide to Radiological procedure. 2001. Elsevier, New York

Yadlapati R. High-resolution esophageal manometry: interpretation in clinical practice. Curr Opin Gastroenterol. 2017; 33:301-309.

Downloads

Published

2023-05-07

How to Cite

E.S, O., J.I, F. ., S.O, O. ., A.O, O. ., & A.O, B. . (2023). Relevance of Barium Studies in an Era of Cross-Sectional Imaging in a Low Resource Economy. European Journal of Health Sciences, 9(1), 12–22. https://doi.org/10.47672/ejhs.1449

Issue

Vol. 9 No. 1 (2023)

Section

Articles

License

Copyright (c) 2023 Osho E.S, Fatukasi J.I, Oyamakinde S.O, Ogunsemoyin A.O, Bello A.O

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.