Abdominal x-ray as a scout film for other procedures such as barium enemas. An upper gastrointestinal series is where a contrast medium, usually a radiocontrast agent such as barium sulfate barium salt mixed with water, is ingested or instilled into the gastrointestinal tract, and X-rays are used to create radiographs of the regions of interest. The barium enhances the visibility of the relevant parts of the gastrointestinal tract by coating the inside wall of the tract and appearing white on the film. A lower gastrointestinal series is where radiographs are taken while barium sulfate, a radiocontrast agent, fills the colon via an
Upper gastrointestinal series by a radiologist using a fluoroscope attached to a TV monitor. The radiologist takes a series of individual X-ray images at timed intervals depending on the areas to be studied. Sometimes medication which produces gas in the gastrointestinal tract is administered together with the Barium sulfate. This gas distends the gastrointestinal lumen, providing better imaging conditions and in this case the procedure is called double-contrast imaging. Clinical status and relevant medical history are reviewed prior to the studies. Patient consent is required. Little or no preparations are required for the study of the larynx, pharynx, and esophagus when studied alone.