SW Neck zone 2- BARIUM vs Gastrographin

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In a message dated 7/19/2006 3:20:07 P.M. Central Standard Time,  
docrickfry at aol.com writes:

And I  have just as valid anecdotes--at least two of our tubed patients---NOT 
 trickled but given full esophageal contrast swallows with barium--injuries  
found, and in our institution in 21 years one never yet missed with  
it--so--what does that prove--as ......
 
The issue here might be with the medium used.  BARIUM is the only  acceptable 
medium to use in esophagograms to look for leaks.  I have never  understood, 
nor can I find any scientific reason or support for, the urban  legend that 
one should use gastrographin for an esophagogram.    Gastrographin is DANGEROUS, 
in that if aspirated, can cause chemical  pneumonitis.   It also has a 
significant false negative  rate.    Virtually every trauma and thoracic surgery 
textbook  chapter that I can find recommends BARIUM.   Thoracic and trauma  
surgeons who present at national meetings recommend BARIUM, and ridicule  
gastrographin.      SO.................................     the contrarian views  on 
this link server might be due to the fact that those reporting false negative  
results with esophagograms were using the wrong media.  
 
k

 

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