before
Lateral feline chest radiograph before contrast.

QUICK TIP: Need to know if there is an oesophageal foreign body but can’t be certain on radiographs?

We have all been in the scenario where we are unsure whether there is an oesophageal foreign body on the radiographs we have just taken.

You might think of using a contrast medium to help, and the first that always comes to mind is barium. However, my personal first choice is a iodinated contrast medium – urografin, for example.

Advantages

Why? Their use is typically limited to myelograms or intravenous contrast studies but they can be given orally as well, for the assessment of oesophageal foreign bodies.

after
Lateral feline chest radiograph after contrast.

The advantage of using this over barium is that if this dye is accidentally aspirated it does not cause pneumonia like barium can.

How to

Using iodinated contrast medium is simple:

  • Given orally non-diluted, Dogs: 5-10ml, Cats: 5ml – you can give more if necessary
  • Immediately repeat the radiographs
  • If there is anything in the oesophagus, it will be highlighted

Tip of the Week author Gerardo Poli is the author of The MiniVet Guide to Companion Animal Medicine – now available in the UK.

View your activity >

Leave a Reply

Be the First to Comment!

Notify of
avatar

wpDiscuz

related content

The BVA says it is “appalled” at the vote by legislators to reintroduce the tail docking of certain classes of working dogs in Scotland.

4 mins

Research from the RVC has shown brachycephalic dogs are 11 times more susceptible to corneal ulcerative disease compared to non-brachycephalics.

4 mins

Staff from Vets4Pets and Petplan raise hundreds of pounds for Bath Cats and Dogs Home at the charity's annual kennel lock-in.

2 mins

Most practices have emerged from the dark ages, when postcards and the odd phone call were the only ways of communicating with clients. Dr Ernie Ward explains how modern methods are driving revenue growth, enhancing patient care and boosting client satisfaction.

25 mins

Veterinary surgeon Julian Peters has been honoured for decades of “unwavering dedication” to helping animals in need.

4 mins

Two Cambridgeshire-based VNs will brave the heat, mud and exertion this weekend to raise money for a local rescue.

4 mins