BARIUM MEAL

Meaad Al-Musined

DEFINITIONIs a radiologic examination of the Upper GI

tract. It consists of a series of X-ray images of the esophagus, stomach and duodenum by usinng C.M

Anatomy:

When the stomach is empty

The internal lining is thrown into numerous longitudinal folds called RUGAE

Anatomy: Greater curvature (3) Lesser curvature (4) Fundus (5) Body (6) Pyloric region (7) Duodenum (8)

Anatomy:1- cardiac orifice

(esophagogastric junction): opening between the esophagus and the stomach.

3-distal esophagus.4-pyloric valve or sphincter:

distal opening of the stomach.

5- lesser curvature: medial border of the stomach, extends between the cardiac and pyloric openings.

6-greater curvature: lateral border of the stomach, four or five times longer than the lesser curvature.

Anatomy:A. Distal esophagusB. Esophagogastric junction

(cardia orifice)C. Lesser curvatureD. Angular notchE. Pylorus of stomachF. Pyloric valveG. Duodenal bulb of the

duodenumH.Descending portion of the

duodenumI. Body of stomachJ. Greater curvature of

stomachK. Gastric foldsL. Fundus of stomach

Technique

Double Contrast

Demonstrate Mucosal Pattern

Single Contrast

Children

very ill. patient

RAO (recumbent)

PA(recumbent) PRONE

AP(recumbent)SUPINE

RT LAT(recumbent)

LPO (recumbent)

Patient positions

Angular NotchIncisura

Angularis

Barium Meal, Double Contrast(Supine Position)

Body

Pylorus of stomach

Supine Position:Note Barium

Distribution in the Fundus due to gravity

Air-Barium Distribution in the Stomach

Gas

BaGas

Ba

FundusWhen the pt is

(AP recumbent )Supine position

Most posterior part

Filled with Ba

(PA recumbent)Prone position

Highest part

Filled with air

Erect (upright) position

Highest part

Filled with air

Pylorus filled with BaThe air-fluid level is a

straight line

Ba in Fundus

LPO recumbent

SUPINE (AP recumbent)

Air in Fundus

ErectAir-fluid level straight

RAOrecumbent

Air in Fundus

Prone PA recumbent

Thank you