IBD, Medical Tests

Upper GI Series

What is an upper gastrointestinal (GI) series? 

An upper GI series is a procedure in which a doctor uses x-rays, fluoroscopy, and a chalky liquid called barium to view your upper GI tract. The barium will make your upper GI tract more visible on an x-ray. 

The two types of upper GI series are: 

  • A standard barium upper GI series, which uses only barium 
  • A double-contrast upper GI series, which uses both air and barium for a clearer view of your stomach lining 

Why do doctors use upper GI series? 

An upper GI series can help a doctor find the cause of: 

  • Nausea and vomiting 
  • Pain in the abdomen 
  • Problems swallowing 
  • Unexplained weight loss 

An upper GI series can also show 

  • Abnormal growths such as cancer 
  • Esophageal varices 
  • Gastroesophageal reflux 
  • A hiatal hernia 
  • Scars or strictures 
  • Ulcers 

How do I prepare for an upper GI series? 

Don’t eat, drink, smoke, or chew gum 

In order to see your upper GI tract clearly, your doctor will most likely ask you not to eat, drink, smoke, or chew gum during the 8 hours before the upper GI series. 

Talk with your doctor 

You should talk with your doctor about any medical conditions you have and all prescribed and over-the-counter medicines, vitamins, and supplements you take. 

Doctors don’t recommend x-rays for pregnant women because x-rays may harm the fetus. Tell your doctor if you are, or may be, pregnant. Your doctor may suggest a different procedure 

A doctor may recommend an upper GI series for your child when the benefits of the procedure outweigh the relatively small risk of x-rays. Talk with your child’s doctor about safety measures used to lower your child’s exposure to x-rays during the procedure. 

How do doctors perform an upper GI series? 

An x-ray technician and a radiologist perform an upper GI series at a hospital or an outpatient center. You do not need anesthesia. The procedure usually takes about 2 hours. The procedure can take up to 5 hours if the barium moves slowly through your small intestine. 

For the procedure, you’ll be asked to stand or sit in front of an x-ray machine and drink barium, which coats the lining of your upper GI tract. You will then lie on the x-ray table, and the radiologist will watch the barium move through your GI tract on the x-ray and fluoroscopy. The technician may press on your abdomen or ask you to change position several times to evenly coat your upper GI tract with the barium. 

If you are having a double-contrast study, you will swallow gas-forming crystals that mix with the barium coating your stomach. Gas forms when the crystals and barium mix. The gas expands your stomach, which lets the radiologist see more details of your upper GI tract lining. The technician will then take additional x-rays. 

What should I expect after an upper GI series? 

After an upper GI series, you can expect the following: 

  • You may have cramping in your abdomen and bloating during the first hour after the procedure. 
  • You may resume most normal activities after leaving the hospital or outpatient center. 
  • For several days, your stools may be white or light colored from the barium in your GI tract. 
  • A health care professional will give you instructions on how to care for yourself after the procedure. The instructions will explain how to flush the remaining barium from your GI tract. You should follow all instructions. 

A specialist will read the x-rays and send a report of the findings to your doctor. 

What are the risks of an upper GI series? 

The risks of an upper GI series include: 

  • Constipation from the barium—the most common complication of an upper GI series 
  • An allergic reaction to the barium or flavoring in the barium 
  • Intestinal obstruction 

Seek care right away 

If you have any of the following symptoms after an upper GI series, seek medical attention right away: 

  • Fever 
  • No bowel movement within 2 days after the procedure 
  • Inability to pass gas 
  • Severe pain in your abdomen 

Source: National Institute of Diabetes and Digestive and Kidney Diseases