"Pre-procedure"
"If the exam is to evaluate post-surgical situations (such as a Roux-en-Y bypass) then the previous set of images should be modified."
"Post-procedure care"
"prone position: compression spot images of the gastric antrum (not for postoperative patients or patients who have a large body habitus."
"right lateral: image(s) of the gastric fundus"
"RPO: image(s) of the upper gastric body and lesser curvature"
"supine: image(s) of the distal stomach"
"LPO: image(s) of the gastric antrum"
"LPO: image(s) of the duodenal bulb"
"Single contrast upper GI technique is a method of imaging the oesophagus, stomach, and duodenum with fluoroscopy. "Single contrast" refers to imaging with barium or water-soluble contrast only, without the addition of effervescent granules."
"The single contrast upper GI study may be preferred over a double contrast technique when"
"There are few contraindications. If the patient is aspirating then a very careful and limited study could be performed with barium if necessary, otherwise consider deferring the exam. If evaluation of the oesophageal or gastric mucosa is what is clinically desired, then a double contrast upper GI technique is preferred."
"One of the most important considerations for a single contrast upper GI is the density of the barium or water-soluble contrast. Contrast must be dense enough to see filling defects, but not so dense that the fluoroscopic tube "burns out" the image obscuring small (and sometimes large) lesions."
"AP chest"
"AP upper abdomen"
"If planning a small bowel follow through, get images of the jejunum at the end of the upper GI portion of the exam."
"Right posterior oblique (RPO) if desired to evaluate a potential problem area"
Expected headings
"Pre-procedure"
"Post-procedure care"
"There are few contraindications. If the patient is aspirating then a very careful and limited study could be performed with barium if necessary, otherwise consider deferring the exam. If evaluation of the oesophageal or gastric mucosa is what is clinically desired, then a double contrast upper GI technique is preferred."
"some method of compression (e.g. radiolucent paddle or leaded glove)"