Video Fluoroscopic Swallowing Exam

A video fluoroscopic swallowing exam (VFSE), also sometimes called a modified barium swallow exam (MBS) or “cookie swallow,” is a radiologic examination of swallowing function that uses a special movie-type x-ray called fluoroscopy. The patient is observed swallowing a substance, such as barium, that can be seen on fluoroscopy to evaluate his or her ability to swallow safely and effectively. Patients are often observed swallowing various consistencies and textures, ranging from thin barium to barium-coated cookies. (from

Youtube video from spladgum (link)

Fluoroscopy allows imaging of anatomical structures in real-time and allows the interpreting physician to observe structure and limited function.

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