Esophagram/Gastrography

Question 1

An Esophagography is used to evaluate what?

Answer 1

Functional and structural alterations of the esophagus

Question 2

What are some indications for performing a barium swallow for an esophagography?

Answer 2

Suspended rupture, stricture, regurgitation, foreign body, mass, megaesophagus, trachea-esophageal fistula, esophageal dysfunction

Question 3

What contrast agents are used for Esophagography?

Answer 3

Barium sulfate paste and liquid 60% and Barium sulfate mixed with canned food

Question 4

What change in procedure may be done if a rupture is suspected?

Answer 4

use water-soluble iodine rather than barium

Question 5

What supplies are needed for an Esophagography?

Answer 5

syringes for barium, canned food, contrast agent, kidney pan for contrast agent, bucket of soapy water, rags, mouth gag or speculum

Question 6

What 2 views are taken for prelims for an Esophagography?

Answer 6

Lateral and VD

Question 7

What items are evaluated with the survey radiographs for Esophagography?

Answer 7

Thoracic and cervical areas

Question 8

What is the fasting process for an Esophagography?

Answer 8

fast for 12 hours and repeat survey radiographs or fast for 12 hours before performing study

Question 9

How is barium administered?

Answer 9

via buccal pouch with a 10-20ml syringe or tube

Question 10

How much barium is administered?

Answer 10

1-5ml

Question 11

What are the minimum amount of views taken for an Esophagography?

Answer 11

2

Question 12

A complete Esophagography study may include what views?

Answer 12

Right and left lateral, VD, Right and Left VD oblique

Question 13

What is the dosage for Acepromazine?

Answer 13

0.02mg/lb

Question 14

A Gastrography is helpful in determining what?

Answer 14

Position, size, shape, morphology of the stomach

Question 15

What are some indications for performing a gastrogram?

Answer 15

Gastric masses, ulcerations, radiolucent foreign bodies, outflow obstruction

Question 16

What are some signs the may lead a veterinarian to request a Gastrography?

Answer 16

acute or chronic vomiting, blood in the vomit, cranial abdomen pain, not eating, not acting well

Question 17

What are the 3 different contrast studies of the stomach that can be performed?

Answer 17

positive, negative, double

Question 18

What is the most diagnostic examination of the gastric mucosal lining?

Answer 18

double-contrast gastrogram

Question 19

Radiopaque iodine may be used instead of barium if what problem is suspected?

Answer 19

perforation

Question 20

Paralysis of the stomach should not be done if a patient has what disease?

Answer 20

diabetes

Question 21

What contrast agents are used for a double contrast study?

Answer 21

barium sulfate and air

Question 22

What is the dosage for air and carbon dioxide?

Answer 22

3-5ml/lb

Question 23

What is the dosage for Carbonated beverages?

Answer 23

30-60ml

Question 24

What is the dosage for effervescent granules or tablets?

Answer 24

enough to produce 3-5ml/lb

Question 25

What is the dosage for barium sulfate 60% for small dogs?

Answer 25

5ml/lb

Question 26

What is the dosage for barium sulfate 60% for large dogs?

Answer 26

3ml/lb

Question 27

What is the dosage for water-soluble organic iodide solution?

Answer 27

3-5ml/lb

Question 28

What is the dosage for barium sulfate suspension 60% for a patient that weighs less than 17 lbs?

Answer 28

1.5ml/lb

Question 29

What is the dosage for barium sulfate suspension 60% for a patient that weighs 17-88 lbs?

Answer 29

1ml/lb

Question 30

What is the dosage for barium sulfate suspension 60% for a patient that weighs more than 88 lbs?

Answer 30

0.7ml/lb

Question 31

What is the dosage for air when it is used for a double contrast gastrogram?

Answer 31

5-10ml/lb

Question 32

What supplies are needed for a Gastrogography study?

Answer 32

orogastric tube, two 5cc syringes, mouth speculum, 3-way valve, large syringes(10-60ml) full of contrast agent, calculated dose of contrast agent, kidney pan, bucket of soapy water, cloth rags

Question 33

How long does a patient need to be fasted before a gastrogram is performed?

Answer 33

24 hours

Question 34

How long do you need to wait after administering acepromazine before taking the preliminary x-rays for gastrograms?

Answer 34

10-20 minutes

Question 35

What views are taken for preliminary x-rays for gastrograms?

Answer 35

VD and right lateral

Question 36

What is determined by the gastrogram survey radiographs?

Answer 36

stomach should appear empty

Question 37

What 6 items MUST be included on the x-ray label?

Answer 37

Clinic, owner, patient, L or R for the laterals, R and L side for the VD, date

Question 38

What additional label is needed on the gastrogram?

Answer 38

sequence of x-rays

Question 39

What is the preferred method for delivering the contrast agent to the patient?

Answer 39

orally or through stomach tube

Question 40

When performing a double contrast study, which contrast is administered first?

Answer 40

air

Question 41

How can you determine the correct placement of the stomach tube?

Answer 41

palpate neck- should feel 2 tubes

Question 42

After the barium is administered via the stomach, what 2 things are done before removing the tube?

Answer 42

follow with water and then air, kink and pinch tube