[Motility disorders of the esophagus--their diagnosis with a rice-barium meal].
The purpose of this study was to evaluate the role of a "barium-rice" study for diagnosis of dysphagia and oesophageal motility disorders.


METHODS
203 patients with oesophageal motility disorders of various aetiologies were examined by both conventional barium study and a "barium-rice" study. During the latter, oesophageal clearance of a defined mixture of barium sulfate and boiled rice was measured.


RESULTS
The conventional barium study revealed prolonged transit time in only 15.8% (32 of 203 cases), whereas barium-rice study was pathological in 50.8% (103 to 203 cases). In 71 of 171 patients (41.5%) with a normal barium study, barium-rice passage was prolonged. In 23 patients, radiological results were confirmed by manometric measurements.


CONCLUSIONS
Oesophageal motility disorders are detected by a barium-rice study with high sensitivity independent of the underlying disease. The barium-rice study offers a simple diagnostic tool revealing quantitative and reliable results. The barium-rice study is a suitable method for screening and follow-up of patients with dysphagia and oesophageal motility disorders.
Schwickert
H C
HC
Klinik mit Poliklinik für Radiologie, Universitätskliniken Mainz.
Schadmand-Fischer
S
S
Klose
P
P
Staritz
M
M
Ueberschaer
B
B
Thelen
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001466:Barium Sulfate; D015154:Esophageal Motility Disorders / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology; D004947:Esophagus / Q000000981:diagnostic imaging / Q000503:physiopathology; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D012275:Oryza; D010528:Peristalsis; D011859:Radiography; D012680:Sensitivity and Specificity
D001466:Barium Sulfate
Motilitätsstörungen des Osophagus--Diagnostik mit dem Reisbreischluck.