Advanced Practice Provider EoE Program (Live/Virtual) | November 2024-The Esophagram- From A to EoE

Video Transcription

Video Summary

Dr. Mike Olson provides an in-depth presentation on the esophagram, an imaging tool used to evaluate esophageal morphology, caliber, and motility. He outlines the procedure's steps and highlights its utility in diagnosing conditions like eosinophilic esophagitis, achalasia, and post-surgical complications. Dr. Olson dismisses misconceptions about radiologists' interactions with patients, emphasizing the importance of a thorough patient history. The procedure involves ingesting effervescent agents and barium to distend the esophagus and acquire diagnostic images. Issues like incomplete distension or dense barium columns are common challenges. Dr. Olson explains positional changes during the test help evaluate various conditions, such as hiatal hernias and esophageal motility disorders. He also discusses the evaluation of post-surgery complications and alternatives like the gastro-gastric fistula. Emphasizing esophageal dysmotility as a diagnostic challenge, he suggests manometry for further analysis if needed. Despite varying esophagram protocols in practice, he encourages adherence to a comprehensive approach.

Asset Subtitle

Michael Olson, MD

Keywords

esophagram

esophageal motility

eosinophilic esophagitis

radiology

barium swallow

diagnostic imaging