Date post: | 22-Jan-2018 |
Category: |
Health & Medicine |
Upload: | dev-lakhera |
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Too much inreases viscosity and decreases movement
normal longitudinal folds barium-filled esophagus smooth, featureless surface of the esophagus
to clear oesophagus of spine
trigger – hyoid bone highest tonsillar fossa
Pylorospasm, fistulae , enlarged gastric rugae, filling defects due to large masses, obstructive features better on single contrast
GASTRIC RUGAE AREA GASTRICAE
Gastric rugae – longitudinal folds seen in mucosa of fundus and body. More prominent in GC.
Fine reticular network of barium coated groves between 1-5 mm islands of mucosa. More visible in old patients. Absent in atrophic gastritis, enlarged in gastritis. More obvious in distal 2/3rd.
RAOBody and antrum
Single contrast Double contrast
Fundus Supine Erect
Body Erect / prone Supine
Antrum and pylorus Prone rt side down Supine right side up
Angular NotchIncisura Angularis
Barium Meal, Double Contrast (Supine Position)
BodyAntrum
Supine Position:Note Barium Distribution
in the Fundus due to gravity
Overhead radiograph enteroclysis (small bowel enema) shows the jejunum (J) in the left upper quadrant and the ileum (I) in the right lower quadrant
Following normal barium meal study
Barium Meal + Follow-Through(Erect Position)
Barium Meal
Barium Follow-Through
Duodenal Cap
Pyloric Canal
2nd Part of Duodenum
3rd Part of Duodenum
Body
Antrum
DJJ:Normal Position= Left side
Angular NotchIncisura Angularis
Jejunum:Plica Circularis on the
outer border
Ileum
Barium introduced directly into the small intestine making it easier to identify morphological abnormalities
Jejunum Ileum
Proximal 2/5th Distal 3/5th
Valvulae conniventies Featureless
4-7 fold/cm 2-4
Larger lumen Smaller
Contraindications