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At least 19 recordsLinked to original sources
PubMed1978

Acute appendicitis in a child associated with prolonged appendiceal retention of barium (barium appendicitis).

An instance of acute appendicitis in a child associated with prolonged retention of barium by the appendix and formation of a barolith was presented. Previous reports have implicated barium in the etiology of appendicitis and suggest routine roentgenographic follow-up of all cases in which barium enters the appendix. Considering the frequency of this observation and the lack of an established relationship between prolonged retention of barium and appendicitis, this suggestion seems unwarranted.

Acute Disease↗
PubMed1977

Optimum viscosity of barium suspension for use in the double contrast barium meal.

The effect of viscosity of barium sulphate suspensions on coating was assessed by glass slides as in vitro, and the rat as in vivo models. It was found that below a certain viscosity (as measured by a cup viscometer) coating was impaired. As increasing viscosity is associated with increasing bubble retention and, eventually, when very high viscosities are reached, poor surface flow of suspension, it is recommended that the viscosity of the medium employed should be kept within a narrow range, approximately equal to 70% w/v Baritop, 80% Micropaque, 115% E--Z-paque, 150% Barosperse, or 200% HD 200.

Animals↗
PubMed1979

[Coloportal fistula in ulcerative colitis (massive penetration, through the splenic vein, of barium and air into the portal system during barium enema)].

The authors describe one case of massive penetration of barium and air through the splenic vein into the portal system during administration of a radiopaque enema to a woman suffering from hemorrhagic proctitis in the florid phase. They provide a detailed description of this rare clinical case and discuss the possible etiology and pathophysiology of the observed event.

Barium Sulfate↗
PubMed1977

Tolerance of mouse macrophages in vitro to barium sulfate used in orthopedic bone cement.

Barium sulfate, used as a radio-opaque marker in some orthopedic bone cements, has been shown to escape into the surrounding tissues. This may present a potential hazard. In particular, phagocytic cells may be exposed to relatively high internal levels of barium once the particles have been phagocytosed. Mouse peritoneal macrophages exposed to barium sulfate for periods up to 144 hr showed a marked cytoplasmic vacuolization from which they recovered only partially. Barium sulfate did not appear to damage the cell membrane as judged by lactice dehydrogenase release. In the relatively low doses and with the periods of exposure described here, barium sulfate does not appear to present a serious toxic hazard in the short term. It is possible, however, that longer exposures and larger doses may result in the death of phagocytic cells which have ingested barium sulfate.

Animals↗
PubMed1977

Detection and grading of oesophageal varices by fibre-optic endoscopy and barium swallow with and without Buscopan.

Detection of oesophageal varices is important in the diagnosis of portal hypertension. We have, therefore, compared the results of fibre-optic endoscopy and barium swallow in 56 patients with chronic liver disease. Oesophageal varices were graded as small, moderate or gross by independent observers for each technique. In 12 patients varices were not detected by either method, and in six cases varices were detected by endoscopy when the barium swallow was negative. In 15 of the remaining 38 patients varices were found to be one grade larger at endoscopy than on barium swallow. Since it is possible that varices appear larger at endoscopy because of the Buscopan (hyoscine N-butyl bromide) used as a relaxant, we carried out barium examinations after Buscopan 20 mg i.v. in 23 of the patients. In eight cases varices were one grade larger after Buscopan than on the standard barium swallow, and in two were only detected after Buscopan had been given. Eight cases negative after Buscopan were also negative at endoscopy. Although emergency endoscopy has particular value in locating the site of bleeding in patients with portal hypertension and acute gastrointestinal haemorrhage, the results of the present study suggest that a barium meal with Buscopan is as accurate as endoscopy in the detection of oesophageal varices.

Butylscopolammonium Bromide↗
PubMed1977

The two-film barium meal in the exclusion of coeliac disease.

Prospective experience over five years is described in assessing the two-film barium meal as a test for the exclusion of untreated celiac disease in children in order to try to make jejunal biopsy unnecessary. 287 meals were examined in children between 3 months and 10 years of age with a variety of gastro-intestinal symptoms and signs that might be attributed to celiac disease. From the two-film barium meal the calibre and transverse mucosal folds of the upper small bowel were measured. In 48 children with untreated coeliace disease there were only three (6%) with negative two-film barium meals. In 45 children with malabsorption from causes other than coeliac disease, there were four (9%) with negative two-film barium meals. It is concluded that the two-film barium meal is a reasonably reliable test for the exclusion of untreated coeliac disease in children. It is simple, cheap, safe and economical of radiological time, and it compares favourably in accuracy with other screening tests, other than jejunal biopsy.

Barium Sulfate↗
PubMed1977

Effects of sammarium on the contractile response of the isolated guinea pig ileum to acetylcholine, histamine, potassium and barium.

The effects of sammarium (Sm3+) on drug responsiveness of the isolated guinea pig ileum were studied. The lanthanid at the concentration of 2x10(-4) M reduced responsiveness to acetylcholine, histamine and submaximal concentrations of potassium. The maximum response to potassium and the responsiveness to barium remained unaffected. 2x10(-3) M Sm3+ reduced barium-induced contractions and smooth muscle response to potassium Ringer. Equipotent submaximal concentration of acetylcholine, histamine, potassium and barium were analysed in order to try to establish a Sm3+-induced differential reduction in smooth muscle responvisiveness. The lanthanid imparied tissue responsiveness to acetylcholine, histamine and potassium, but did not alter reponsiveness to barium. The results seem to be consistent with the hypothesis that in the guinea pig ileum responsivenesses to acetylcholine, histamine and potassium are, probably, supported by a calcium store(s) located at the cell membrane. The persistence of responsiveness to barium could indicated that this agonist acts upon a cellular calcium store(s) insensitive to Sm3+.

Acetylcholine↗
PubMed1979

Predictability of rectal incontinence on barium enema examination.

The aim of this study was to determine if digital assessment of anal sphincter tone predicts whether a rectal balloon is needed to prevent incontinence during a barium enema examination. During an 8 month , 306 patients scheduled for barium enema examination were evaluated. Immediately before each examination as good, fair, or poor. The barium enema was then performed in a conventional manner. Leakage of even small amounts of barium was scored as rectal incontinence. Ability to retain the barium enema correlated closely with the strength of rectal bone, regardless of patient sex or age. For different sphincter tones the incidence of rectal incontinence was: good, 2%, fair, 30%; and poor, 90%. From these findings it is recommended that, irrespective of patient age and sex, the use of rectal balloon catheters be limited to patients with poor or fair rectal tone.

Adult↗
PubMed1975

Scanning electron microscopic and electrophoretic observations on barium sulphate used to absorb clotting factors.

Electron microscopy and particle electrophoresis were found to be complementary techniques with which to complete the physical data from an earlier study on barium sulphates used to absorb clotting factors from serum. The differences revealed by scanning electron microscopy (S. E. M) in the physical shape of low and high density grades of barium sulphate particles appear to be of greater significance than charge as expressed by electrophoretic mobility, in determining whether or not precursor or performed factor Xa is eluted. This conclusion was based on the finding that at pH values close to 7, where the adsorption from serum occurs, all samples with the exception of natural barytes were uncharged. However as the high-density, or soil-grade, was found by S. E. M. to consist of large solid crystals it was suggested that this shape might induce activiation of factor X as a result of partial denaturation and consequent unfolding of the adsorbed protein. In contrast, uptake of protein into the centre of the porous aggregates revealed by S. E. M. pictures of low-density or X-ray grade barium sulphate may afford protection against denaturation and exposure of the enzyme site. The porous nature of particles of low-density barium sulphate compared with the solid crystalline forms of other grades accounts not only for its lower bulk density but also for its greater surface/gram ratio which is reflected by an ability to adsorb more protein from serum. Neither technique produced evidence from any of the samples to indicate the presence of stabilising agents sometimes used to coat particles in barium meals.

Adsorption↗
PubMed1979

Appendicitis associated with recent barium study.

There have been several reports of "barium-induced" appendicitis in the literature. When confronted with a possible case of this phenomenon, a review of the literature on the subject was carried out. The suggestion is made that there is no evidence to support a cause-effect relationship between barium retained in the appendix and appendicitis. Diseased appendices can be marked by retained barium and a higher likelihood may then exist for the subsequent development of appendicitis. Following the finding of prolonged retention of barium after contrast study, it is recommended that the patient be instructed as to the possibility of developing symptoms of acute appendicitis. Patients who present with symptoms of appendicitis should be questioned as to history of recent barium study, and x-rays should be reviewed with the possibility of finding appendoliths.

Adult↗
PubMed1977

The effects of samarium on the contractile responses of the guinea-pig taenia coli to acetylcholine, potassium, histamine and barium.

The role of calcium in supporting the phasic contractions of the isolated guinea-pig taenia coli induced by acetylcholine, potassium, histamine or barium has been studied using the lanthanid samarium (Sm3+). A carefully selected concentration of Sm3+ (6 X 10(-5)M) depressed to a same extent the phasic responses of the tissue to submaximal concentrations of the agonists used whilst maximum responses to histamine and barium were unaffected. Calcium and barium-induced responses of the depolarized taenia coli were not inhibited by 6 X 10(-5)M Sm3+. The rate of loss of responsiveness of the depolarized tissue to acetylcholine was increased, that to histamine was not altered while that to barium was decreased by 6 X 10(-5)M Sm3+. These findings support the concept that phasic responses of the guinea-pig taenia coli to submaximal concentrations of the agonists used are dependent on a Sm3+-sensitive calcium store(s) probably located at the cell membrane. However, maximum responses to histamine and barium seem to be supported, at least partially, by a Sm3+-insensitive depot(s) probably located at cytoplasmic compartments.

Acetylcholine↗
PubMed1977

Synaptic activation of Helix ganglion cells by barium ions.

Experiments were carried out on Helix suboesophageal ganglion cells by use of microelectrodes in order to study the effects of barium ions applied in 1-8 mM concentration. The overall effect of barium ions consisted in a marked depolarization, the thresholds of the ganglion cells, however, were quite different. In case of the most sensitive cells, bursting transformation and paroxysmal depolarization shifts occurred. A minor part of the neurons responded to barium ions with interruption of the spike generation which, in most cases, was accompanied by hyperpolarization. For a considerable part of the cells, the application of barium ions resulted in appearance of repetitive EPSP's and, infrequently, IPSP's. This was ascribed to excitatory effects exerted on the presynaptic terminals. It is concluded that barium ions have at least 2 points of attack in the ganglion: 1, on the soma membrane of the neurones, and 2, on the presynaptic terminals controlling them.

Action Potentials↗