Upper GI for esophageal perforation

  • Patient preparation: none
  • Contrast used: low osmolar water soluble followed by barium
  • Technique: set video to high frame-rate mode, stand patient upright, first use low osmolar water soluble contrast, once convinced you do not see a leak with water soluble contrast repeat the exam in upright position with barium, once convinced you do not see a leak with barium lay patient down and repeat exam with barium in supine position
  • Images to obtain: AP, lateral and oblique images of the esophagus
  • Looking for: leaking of contrast outside of the esophagus into the mediastinum from trauma or Boerhaave syndrome
  • Post procedure tasks: none