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Revised 2024 (Resolution 25)

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ACR PRACTICE PARAMETER FOR THE PERFORMANCE OF ESOPHAGRAMS AND UPPER GASTROINTESTINAL EXAMINATIONS IN ADULTS

PREAMBLE

I. INTRODUCTION

II. INDICATIONS AND CONTRAINDICATIONS

A. Indications for an esophagram

II. INDICATIONS AND CONTRAINDICATIONS

B. Indications for upper GI examination

II. INDICATIONS AND CONTRAINDICATIONS

C. Contraindications

III. QUALIFICATIONS OF PERSONNEL

IV. SPECIFICATIONS OF THE EXAMINATION

IV. SPECIFICATIONS OF THE EXAMINATION

A. Patient Preparation

IV. SPECIFICATIONS OF THE EXAMINATION

B. Examination Preliminaries

IV. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

1. Single contrast esophagram

IV. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

2.

Double-contrast (biphasic) esophagram [27]

IV. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

3. Single-contrast upper GI examination

IV. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

4. Double-contrast (biphasic) upper GI examination [28]

IV. SPECIFICATIONS OF THE EXAMINATION

C. Examination Technique

5. Water-soluble contrast examination

V. DOCUMENTATION

VI. EQUIPMENT SPECIFICATIONS

VII. RADIATION SAFETY IN IMAGING

VIII.

QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

Writing Committee – members represent their societies in the initial and final revision of this practice parameter

ACR
DiSantis, David MD, Chair
Carucci, Laura R MD
Gerson, Rachel MD
Megibow, Alec MD
Scholz, Francis MD
Turner, Mary MD
Wolf, Ellen MD
Zarzour, Jessica MD

Committee on Abdominal Imaging – Body Imaging

(ACR Committee responsible for sponsoring the draft through the process)

Yeh, Benjamin MD, Chair	Arora, Sandeep S MBBS	Brook, Olga R MD	Carucci, Laura R MD
Fidler, Jeff L MD	Fung, Alice MD	Furlan, Alessandro MD	Houshmand, Sina MD
Kim, David H MD	Liau, Joy MD, PhD	Moreno, Courtney Coursey MD	Turner, Mary MD
Wasnik, Ashish P MD	Wolf, Ellen MD	Yeghiayan, Paula MD

Larson, David B MBA, MD, Chair, Commission on Quality and Safety

Rosenkrantz, Andrew MD, Chair, Commission on Body Imaging

Comments Reconciliation Committee

Gerson, Rachel MD - CSC, Chair	Winsor, Kimberly MD - CSC, Co-Chair	Brook, Olga R MD	Carucci, Laura R MD
Crummy, Timothy MD, MHA - CSC	DiSantis, David MD	Larson, David B MBA, MD	Megibow, Alec MD
Rosenkrantz, Andrew MD	Scholz, Francis MD	Schoppe, Kurt MD - CSC	Turner, Mary MD
Wolf, Ellen MD	Yeh, Benjamin MD	Zarzour, Jessica MD

REFERENCES