Oral contrast for CT in blunt abdominal trauma

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In a message dated 8/21/2004 8:27:48 PM Central Standard Time,  
mmcbridemd at yahoo.com writes:

Is some  part of this thinking incorrect? Or simply unproven by evidence 
based  standards?




It is un necessary and redundant to use the initial  gastrografin.   Not only 
is it only helpful if POSITIVE, it is  dangerous if aspirated.  If there is 
an esophageal injury and the barium  extravasates into the mediastinum, one is 
going to operate and remove it.   There are exactly NO articles indicating ANY 
harm for barium to be used in cases  of esophageal trauma.  NONE.       So, 
one  must question if the radiologist are doing the two tests to double dip un  
necessarilly.   It would not be the first time.   
 
k

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