Evaluation of Barium and Gastrografin as Contrast Media for the Diagnosis of Esophageal Ruptures or Perforations

Vessal, Karim; Montali, Richard J.; Larson, S. M.; Chaffee, Vincent; James, A. Everette

doi:10.2214/ajr.123.2.307

Cited by 37 publications

(9 citation statements)

References 7 publications

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“…The chemical peritonitis produced by barium in the abdominal cavity is well known. This kind of reaction has not been demonstrated in the thorax 28,29 (Fig.4). It is also important to mention that the osmolality of watersoluble contrast medium is around 6 times the plasma osmolality, which produces significant inflammatory reaction and respiratory distress when aspirated.…”

Section: Discussionmentioning

confidence: 78%

Surgical Treatment of Traumatic Esophageal Perforations. Analysis of 10 Cases

Andrade-Alegre

2005

Clinics

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Section: Discussionmentioning

confidence: 78%

Surgical Treatment of Traumatic Esophageal Perforations. Analysis of 10 Cases

Andrade-Alegre

2005

Clinics

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“…There are many barium agents available and compositional differences are minor [10]. Conversely, ICM used in these instances are readily absorbed without permanent adverse effects [197], although high osmolar ICM may cause hypovolaemia and dehydration due to osmotic draw [198]. Contraindications for use of barium agents include oesophageal/gastrointestinal perforations, as these lead to cellulitis, mediastinitis or peritonitis.…”

Section: Barium Sulfate Preparationsmentioning

confidence: 99%

“…Contraindications for use of barium agents include oesophageal/gastrointestinal perforations, as these lead to cellulitis, mediastinitis or peritonitis. Conversely, ICM used in these instances are readily absorbed without permanent adverse effects [197], although high osmolar ICM may cause hypovolaemia and dehydration due to osmotic draw [198]. Aspiration causes severe pulmonary oedema [199].…”

Section: Barium Sulfate Preparationsmentioning

confidence: 99%

Use of contrast media in computed tomography and magnetic resonance imaging in horses: Techniques, adverse events and opportunities

Nelson

Goodrich

Barrett

et al. 2017

Equine Veterinary Journal

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The use of contrast media in computed tomography (CT) and magnetic resonance imaging (MRI) is increasing in horses. These contrast-enhanced imaging techniques provide improved tissue delineation and evaluation, thereby expanding diagnostic capabilities. While generally considered safe, not all contrast media exhibit the same safety profiles. The safety of contrast media use and descriptions of adverse events occurring in horses are sparsely reported. This review summarises the reported evidence of contrast media use and adverse events that occur in horses, with added contribution from other veterinary species and studies in man for comparison. This comprehensive data set empowers equine clinicians to develop use and monitoring strategies when working with contrast media. Finally, it summarises the current state-of-the-art and highlights the potential applications of contrast-enhanced CT and MRI for assessment of diseased or injured equine tissues, as well as (patho)physiological processes.

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“…The definitive diagnosis is usually made by esophagogram, which should be per formed with water-soluble contrast agent, since barium sulfate may cause development of granulomatous mediastinitis [15], Several authors have stressed the fact that a normal initial esophagogram does not exclude the diagnosis in patients with clinical suspicion of Boerhaave's syndrome [13]. These pa tients require further barium studies or esophagoscopy which may be used like in our cases 5 and 9 also as the first examination.…”

Section: Discussionmentioning

confidence: 98%