[Dysphagia] Barium etc

[eripley at yahoo.com (Irene Campbell-Taylor)]

Gastrointest Radiol. 1988 Jul;13(3):221-3. 
  Allergy to barium sulfate suspension with angioedema of the stomach and small bowel.
  Shaffer HA Jr, 
  Eckard DA, 
  de Lange EE, 
  Ramakrishnan MR. 
  Am J Med. 1990 Aug;89(2):251 
   
  Anaphylaxis from the Carboxymethylcellulose Component of Barium Sulfate Suspension
  NEJM 337:1275-1277 1997
  Nobuyuki Muroi, Ph.D., Masahiro Nishibori, M.D., Ph.D., Takashi Fujii, M.D., Masakazu Yamagata, M.D., Sachiko Hosoi, Naoki Nakaya, Ph.D., Kiyomi Saeki, M.D., Ph.D., and Kimio Henmi, M.D., Ph.D. 
   Allergy to barium is, indeed, very rare. Above are two of perhaps seven reports. In response to Dr  Dagdilelis   , I have been involved as a defense witness for two radiologists under whose care the patient died after inadvertent instillation of small amounts of Gastrografin into the lung. Another case involved defense of a radiologist who refused to use Gastrografin because he felt that the patient was in danger of aspirating and used barium. The patient did aspirate, the radiologist (resident) was fired for not following his superior?s order for Gastrografin and it took two years to have him reinstated on the court?s decision that he was right as the Gastrografin could have proven lethal. Evidence was provided by the manufacturer to that effect.


Dr I Campbell-Taylor
Clinical Neuroscientist
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