1

Gastrointestinal Lecture RTEC 124 – SP 2011

Contributions byKenneth Bontrager &

Phil BallingerMosby Publications

D. Charman Spring 2011 Week 9

2

3

4

HYPERSTENIC STENIC

5

HYPOSTENIC ASTENIC

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25ESOPHOGEAL VARICIES

26

27

Hiatal Hernia Reflux

28

29

30Upper GI Series:

AP SCOUT FILM = CENTER ABOVE IC

31

32

33

34

“spot films”

35

‘OVERHEADS”

POST FLUORO FILMING FOR

UGI

36

Tip of scapula / below crest

37

38

39

40

41

42

43

44

45

46

Position?

47

48

49

Which is RAO or LPO ?

50Position ?

51

52

53

54

55

56

AP vs PA

57

hiatal hernia above the level of the diaphragm Common pathologies

58GASTROINTENSTIAL CONTRAST MEDIA

59

60

61

62

63

64

65

Small Bowel Series

• AP ABD– Scout• Contrast given• Films taken every 15 minutes for first hr.• Center 2” above crest to include

diaphram – as contrast moves down –• re center CR to or slightly below IC• May alternate AP and PA positions• better delineation of small intestines

66 SCOUT &

GI WITH SMB

67SMB Timed study

68

69

70

71SMB completed when barium reached TI

Spot compressions of TI

Must have a CRT Fluoro License to perform!

72

73

74

Enteroclysis procedure

75

76

77

GASTRIC BYPASS SURGERY

78

Review of PROCEDURES

• ESOPHOGRAM

• UGI

• SMALL BOWEL SERIES

79

ESOPHOGRAM

• ??? SCOUT??• UPPER ESOPHO – VIDEO/CINE• 3 FRAMES PER SECFULL FILMS – OVERHEADS WHILE

DRINKNG• RAO / LAO• RT LATERAL • CENTER LOWER EAR TO FUNDUS

80

UGI

• SCOUT – AP (LOW KVP)

• OVERHEADS – HIGH KVP

• PA (OR AP)

• RPO / LAO

• RT LATERAL

81

SMB

• SCOUT – AP• TIMED AFTER CONTRAST• AP/PA• 15 /30 / 45 MIN / 1 HOUR• 11/2 HOUR / 2 HOUR• 3 /4/ 5 ETC TO TI• ‘SPOT’ TI • (RAD OR FLUORO LIC TECH)

82NEXT WEEKBARIUM EMEMAS & GI PATH Lecture

SERIES NOTES for BE DUE BEGINNING OF CLASS

QUIZ EACH WEEK

THE END FOR NOW!

83