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The problem can occur when the movements involved in swallowing are restricted due to a tumor, any type of blockage, or paralysis after a stroke. Besides the motor problems, swallowing can be impaired due to sensory dysfunction, meaning when sensation (the ability to feel) is lost or reduced anywhere in the throat area.
An upper gastrointestinal series, also called a barium swallow, barium study, or barium meal, is a series of radiographs used to examine the gastrointestinal tract for abnormalities. A contrast medium , usually a radiocontrast agent such as barium sulfate mixed with water, is ingested or instilled into the gastrointestinal tract, and X-rays are ...
An esophageal motility study (EMS) or esophageal manometry is a test to assess motor function of the upper esophageal sphincter (UES), esophageal body and lower esophageal sphincter (LES). [ 1 ] Indications
The CPT code revisions in 2013 were part of a periodic five-year review of codes. Some psychotherapy codes changed numbers, for example 90806 changed to 90834 for individual psychotherapy of a similar duration. Add-on codes were created for the complexity of communication about procedures.
This figure shows a pressure topography plot during a normal swallow, measured using a 36-channel high-resolution manometry system. Time is on the horizontal axis and length along the esophagus on the vertical axis. Pressure magnitude is encoded in color corresponding to the scale shown at the bottom.
The overall LES pressure after a swallow is represented by the integrated relaxation pressure (IRP). [3] If the IRP is abnormally elevated (>15 mmHg), this indicates an obstruction is present. Normal peristalsis with an obstruction at the esophagogastric junction (elevated IRP) is consistent with EGJOO.
The distensibility index (DI) is the most studied and most helpful result obtained with FLIP testing. [1] The normal DI ranges from 3.1 to 9.0 mm2 per mmHg. [1] As the balloon is distended, the results of secondary esophageal secondary contractions may be seen via FLIP panometry. [1]
A barium swallow exam taken via fluoroscopy. Fluoroscopy can be used to examine the digestive system using a substance that is opaque to X-rays (usually barium sulfate or gastrografin), which is introduced into the digestive system either by swallowing or as an enema. This is normally as part of a double-contrast technique, using positive and ...