Barium Sulfate

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Barium Sulfate Brand Names

Anatrast | Bar Test | Baricon | Baro Cat | Barobag | Baropaque | Baropaque AC | Barosperse | Barotrast | CAT Pak | CheeTah | Digibar 90 | Digital HD | E Z Cat | E Z Disk | E Z HD | E Z Paque | Enhancer | Entero H | Entrobar | Entroease | Epi-C | Esophotrast | Exacta II | E-Z-AC | E-Z-Paste | Flo-Coat | HD-200 | HD-85 | Intropaste | Liqui-Coat HD | Liquid E Z Paque | Liquid Polibar | Liquid Sol-O-Pake | Medescan | Opti Up | Polibar | Prepcat | Readi Cat | Readi Cat 2 | Scan-C | Sol-O-Pake | Stomach Barium Air Contrast | Stomach Barium Single Contrast | Tomocat | Tonojug Tonopaque | Tonopaque | Top Cat | Ultra R | VoLumen

What is Barium Sulfate

Barium sulfate is an orally or rectally administered inert radiopaque agent. It is used as a contrast medium for radiographic examination of the gastrointestinal (GI) tract to detect or evaluate abnormalities.

Whether administered orally or rectally, examination using barium sulfate may be done as a single-contrast or double-contrast examination.

The single-contrast examination uses barium alone as the contrast medium.

The double-contrast examination combines barium with the insufflation of air or gas, a technique that increases the sensitivity in evaluating mucosal lesions.

To achieve double-contrast examination, a thin coating of barium is administered, followed by the introduction of air or gas (e.g., carbon dioxide) via a tube, or via the use of effervescent tablets (sodium bicarbonate 35 mg, tartaric acid 35 mg, calcium carbonate 500 mg) to react with the gastric contents to produce carbon dioxide.

The purpose of the double-contrast technique is to allow better visualization of the surface in question.

The use of a double-contrast technique requires the selection of a barium sulfate product labeled for this purpose; many available commercial preparations are suitable.

Barium sulfate suspensions designed for double-contrast studies usually have heterogeneous particle sizes for mucosal coating compared to homogeneous particles found in products for use in single-contrast study products only.

Indications

  • computed tomography (CT) imaging
  • gastrointestinal radiography
  • radiographic examination

For use in radiographic examination of the gastrointestinal (GI) tract (gastrointestinal radiography)

Side Effects

  1. abdominal pain
  2. bronchospasm
  3. constipation
  4. diarrhea
  5. disseminated intravascular coagulation (DIC)
  6. GI obstruction
  7. GI perforation
  8. hypotension
  9. nausea
  10. pneumonitis
  11. pruritus
  12. pulmonary embolism
  13. rash
  14. syncope
  15. urticaria
  16. vomiting

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • accidental exposure
  • appendicitis
  • asthma
  • atopy
  • barium sulfate hypersensitivity
  • breast-feeding
  • children
  • constipation
  • cystic fibrosis
  • dehydration
  • dementia
  • diverticulitis
  • dysphagia
  • eczema
  • electrolyte imbalance
  • fecal impaction
  • fistula
  • geriatric
  • GI bleeding
  • GI obstruction
  • GI perforation
  • hereditary fructose intolerance
  • ileus
  • increased intracranial pressure
  • infants
  • inflammatory bowel disease
  • intravenous administration
  • latex hypersensitivity
  • neonates
  • peptic ulcer disease
  • pregnancy
  • pyloric stenosis
  • radiation therapy
  • radiopaque contrast media hypersensitivity
  • toxic megacolon

Interactions

  • Bictegravir; Emtricitabine; Tenofovir Alafenamide
  • Brexpiprazole
  • Caffeine
  • Darunavir; Cobicistat; Emtricitabine; Tenofovir alafenamide
  • Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Alafenamide
  • Emtricitabine; Rilpivirine; Tenofovir alafenamide
  • Emtricitabine; Tenofovir alafenamide
  • Tenofovir Alafenamide
  • Tenofovir Alafenamide

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