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November 8, 2009
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Upper GI Series
(Barium Swallow)

Medical Author: Jay W. Marks, MD
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

What is an upper gastrointestinal (GI) series?

An upper gastrointestinal (GI) series (barium swallow), is a radiological test that is used to visualize the structures of the upper digestive system - the esophagus, stomach and duodenum. If it is desired to see the remaining parts of the small intestine, a small bowel series can be added to the test. These structures are seen during the examination, and the images are also are saved for further review on X-ray film or digital images. The results of an upper GI series can reveal conditions such as ulcers, tumors, hiatal hernias, scarring, blockages, and abnormalities of the muscular wall of the gastrointestinal tissues.

What are the risks of an upper GI series?

Any x-ray test procedure involves some risk from radiation exposure. The radiation exposure is minimized by standard techniques that have been assigned and approved by national and international radiology committees and councils. Radiology technicians are certified by national certifying boards.

Patients who are or may be pregnant should notify the requesting practitioner and radiology staff, as there is potential risk of harm to the fetus with any radiation exposure.



Next: How does a patient prepare for an upper GI series, and how is it performed? »

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Upper GI Series (Barium Swallow)

The stomach

The stomach is part of the digestive system. It is a hollow organ in the upper abdomen, under the ribs.

The wall of the stomach has five layers:

  • Inner layer or lining (mucosa): Juices made by glands in the inner layer help digest food. Most stomach cancers begin in this layer.
  • Submucosa: This is the support tissue for the inner layer.
  • Muscle layer: Muscles in this layer create a rippling motion that mixes and mashes food.
  • Subserosa: This is the support tissue for the outer layer.
  • Outer layer (serosa): The outer layer covers the stomach. It holds the stomach in place.

Food moves from the mouth through the esophagus to reach the stomach. In the stomach, the food becomes liquid. The liquid then moves into the small intestine, where it is digested even more.

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