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Virtual Pediatric Hospital: Paediapaedia: Cookie Swallow Paediapaedia: Gastrointestinal Procedure Descriptions

Cookie Swallow

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Patient Preparation:
None

Contrast:
None

Technique:
Remember to check for spontaneous cough reflex

Lateral
Center at uvula - magnify - turn on video
Tablespoon liquid barium x 3
If no aspiration give mouthful of liquid barium
Tablespoon paste barium
Cookie coated with barium paste
Give water to wash out barium

AP (cone down)
Tablespoon liquid barium x 2
Mouthful liquid barium
Cookie coated with barium paste
Phonate aaa - eee - ahahah
If no aspiration do conventional esophagram
If anatomical problem seen in pharynx do AP and lat views without barium swallow

Views to Take:
Not applicable

References:
See References Chapter.

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