Definition

It is often that ref;lux disease cannot be identified at the time of th eprocedure

Indications

Suspect Reflux

Contraindications

Nil

Advantages

Simple

Disadvantages

Patient immobility either due to age, infirm or severe illness

Aim

To demonstrate reflux

Method

Patient Preparation

Nil specific – since patient has been prepared for the test already.

Equipment

Videofluoroscopy

Technique

Place the patient in the supine position in the right posterior oblique and asked to swallow plain water after ingested barium. Instruct the patient to strain

Results

This manouvre induces reflux.

Complications

No Complications

Conclusion

A special manouver to induce reflux

References

Thompson JK, Koehler RE, Richter JE. Detection of Gastroesophageal Reflux:
Value of Barium Studies Compared with 24-hr. pH Monitoring (see comments).
AJR 1994;162(3):621-626.