Timed barium swallow: a simple technique for evaluating esophageal emptying in patients with achalasia.

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How to Perform and Interpret Timed Barium Esophagogram

Timed barium esophagogram (TBE) is a simple and objective method for assessing the esophageal emptying. The technique of TBE is similar to usual barium swallow with some modifications, which include taking multiple sequential films at pre-decided time interval after a single swallow of a fixed volume of a specific density barium solution. While many authors have used height and width of the bar...

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Timed barium esophagogram in the assessment of patients with achalasia: reproducibility and observer variation.

SUMMARY. The timed barium esophagogram (TBE) is a further development of the barium swallow, introducing functional and dynamic dimensions to the assessment. The purpose of our study was to assess the day to day variability of TBE parameters when scored in healthy subjects, in untreated and in previously treated patients with confirmed diagnoses of achalasia and to assess the intra- and interob...

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Dynamic esophageal scintigraphy in patients with achalasia.

BACKGROUND Dynamic esophageal scintigraphy has been proven as an efficient technique of diagnosis of esophageal dysmotility. METHODS The authors monitored the transit velocity, anti-peristalsis and the retention of radioactivity in the esophagus by dynamic esophageal scintigraphy in a group of 50 patients (37 control patients and 13 patients with achalasia). RESULTS They found a significant...

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Radiological Evaluation of Esophageal Function in Dysphagia with Special Emphasis on Achalasia

In idiopathic achalasia, degeneration of the inhibitory innervation of the esophageal smooth muscle results in absence of primary peristalsis and in incomplete relaxation of the lower esophageal sphincter (LES). All treatments for achalasia aim at reducing the pressure gradient across the LES, thus facilitating esophageal emptying by gravity. Objective evaluation of the response to treatment is...

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Evaluation of successful treatment in achalasia with timed barium esophagogram: revisiting an old friend

Achalasia is a rare idiopathic, primary esophageal motility disorder. Pharmacologic, endoscopic and surgical methods are used in its treatment. The efficiency of the treatment is generally based on clinical "subjective" criteria. Manometry, which is the gold standard in diagnostic and in treatment monitoring is not always available, it is costly and it needs expertise. The role of timed barium ...

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ژورنال

عنوان ژورنال: American Journal of Roentgenology

سال: 1997

ISSN: 0361-803X,1546-3141

DOI: 10.2214/ajr.169.2.9242756