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November 22, 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)

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The digestive tract (or gut) is a long twisting tube that starts at the mouth and ends at the anus. It is made up of a series of muscles that coordinate the movement of food and other cells that produce enzymes and hormones to aid in the breakdown of food. Along the way are three other organs that are needed for digestion: the liver, gallbladder and the pancreas.

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The mouth is the beginning of the digestive tract, and, in fact, digestion starts here before you even take the first bite of a meal. The smell of food triggers the salivary glands in your mouth to secrete saliva, causing your mouth to water. When you actually taste the food, saliva increases.

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