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Case study

Example findings during the lateral and A-P views of the Modified Barium Swallow Study (MBSS).

The purpose of this study was to determine candidacy for a diet upgrade from puree. Posterior spillage over the epiglottis occurred with whole pieces of mechanical soft solids.

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The patient’s complaint was “pills sticking”.

Pill stuck.png

Reduced lingual control for bolus holding resulted in posterior spillage to the pyriform sinuses prior to the swallow initiation with thin liquid via cup.

Posterior spillage.png

This patient had stasis of contrast and a whole barium tablet due to an esophageal stricture, which is an abnormal tightening or narrowing of the esophagus.

The patient had complaints of odynophagia, globus sensation, cough, and regurgitation. The esophageal sweep revealed a persistent column of contrast in the esophagus extending above the clavicles.

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The patient was referred to a Gastroenterologist due to a possible esophageal stricture; which is an abnormal tightening or narrowing of the esophagus. The esophagus is a muscular tube that connects the throat to the stomach, carrying food and liquid. A stricture narrows the esophagus, making it more difficult for food to travel down the tube.

The patient presents with a persistent column of barium contrast mainly in the mid to upper third of the esophagus with delayed emptying into the stomach and associated reflux above the clavicles.

Delayed .png

Patient presents with a supra-diaphragmatic hiatal hernia, a part of the stomach pushes through the opening of the esophagus and enters the chest cavity. Typically, only the upper part of the stomach is affected. In many cases, a diaphragmatic hernia has no symptoms. When symptoms occur, they are usually the classic symptoms of gastroesophageal reflux disease. The most common side effect is heartburn. There is pain behind the sternum and difficulty swallowing. The pain behind the sternum usually worsens in a lying position. Diaphragmatic hernia causes heartburn as the passage of the stomach through the diaphragm causes gastric acid to enter the esophagus. Normally, this prevents constriction in the diaphragm opening.

Supra-diaphragmatic hiatal hernia.png
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