Barium esophagram

Fig. 2.14a-d. Esophageal duplication cyst, a AP chest radiograph without appreciable abnormality, b Lateral chest radiograph with anterior bowing and narrowing of the airway above the carina. c Barium esophagram confirms the presence of a soft tissue mass, d Contrast-enhanced CT shows the cyst posterior to the airway, and deforming the airway arrow)... 

Fig. 2.15. Esophageal bronchus. Barium esophagram demonstrates that the right main bronchus arises from the esophagus. The right lung is completely opacified...

GER is the commonest indication for performing barium esophagram and upper gastrointestinal series in children. To optimize the examination, the stomach should be filled with the same volume as with a normal feed. If the child refuses... 

Fig. 2.22a,b. Impacted coin above an unsuspected vascular ring, a Frontal chest radiograph shows the coin lodged in the proximal esophagus above the aortic arch, b Barium esophagram reveals an aberrant retroesophageal right subclavian artery... 

The chest radiograph is usually normal. Occasionally, an esophageal air-fluid level can be seen above an esophageal obstruction. Barium esophagram, the modality of choice, demonstrates strictures as nar-... 

The video esophagram, or modified barium swallow, is the standard technique to evaluate dysphagia. This examination is more sensitive than clinical evaluation of aspiration (DeMatteo et al. 2005), and is also more sensitive than the conventional upper GI series for the detection of aspiration (Vazquez and Buonomo 1999). A scout radiograph of the chest should be obtained to assess for evidence of aspiration. For the examination, the child must be securely... 

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