The Common Vein Copyright 2008

 

Definition

 

It is often that ref;lux disease cannot be identified at the time of th eprocedure

Indications

Suspect Reflux

 

Contraindications

 

Nil

Advantages

 

Simple

 

Disadvantages

 

Patient immobility either due to age, infirm or severe illness

 

Aim

 

To demonstrate reflux

 

 

Method

Patient Preparation

 

Nil specific – since patient has been prepared for the test already.

 

Equipment

 

Videofluoroscopy

 

Technique

 

Place the patient in the supine position in the right posterior oblique and asked to swallow plain water after ingested barium. Instruct the patient to strain

 

 

Results

 

This manouvre induces reflux.

 

Complications

 

No Complications

 

Conclusion

 

A special manouver to induce reflux

 

References

 

Thompson JK, Koehler RE, Richter JE. Detection of Gastroesophageal Reflux:
Value of Barium Studies Compared with 24-hr. pH Monitoring (see comments).
AJR 1994;162(3):621-626.