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Upper GI Tract
Fluoroscopy adventage
Fluoroscopy makes it possible to see
difficulty swallowing
chest and abdominal pain
reflux (a backward flow of partially digested
Prepare equipment
X-ray unit with
flouroscopy
Radiograph
flouroscopy
BaSO4
DOUBLE CONTRAST
Advantage :
Small lesion are less easily obscured and
procedure
Just before the examination the patient may be
Biphasic exam
Incorporation the adventage of both single
Hypotonic duodenography
Required intubation and used for evaluation of
Take radiograph
PA
Ap
Oblique
Lateral
PA projection
PA projection
Structur shown :
Barium filled stomach and
PA AXIAL
PA Axial
Structure shown
At the hypersthenic type stomach for
RAO position
RAO projection
Structure shown :
Doudenal Loop
Best image of the
pyloric and
doudenal bulb
LPO Position
Structure shown :
Fundic portion
Because of the effect of gravity the
Lateral Projection
Lateral projection
Structure shown ;
Anterior and
psoterior aspects of
the stomach,
pyloric , duodenal
bulb .
The right lateral
projection
commonly affords
the best image of
the pyloric an
duodenal bulb in
the hypherstenic
AP projection
AP PROJECTION
Structure shown :
Stomach shows awell
oninvasive procedure.
The results of the upper GI series usually lead to
accurate evaluation of the esophagus, stomach
and duodenum.
Because barium is not absorbed into the blood,
allergic reactions are extremely rare.
No radiation remains in a patient's body after an
x-ray examination.
X-rays usually have no side effects in the
diagnostic range.
Risks
Occasional patients may be allergic to the
Small intestine
Radiographic
procedure
Looked this
Ba Follow - through
Indication :
1. Pain
2. Diarrhoea
3. Bleeding
4. Partial obstruction
.Contra indication :
1. Complet obstruction
2. Perforation suspected.
..next
BaSO4 preparation :
1. By mouth
2. By reflux filling with large volume Ba
enema
3. By direct injection into bowel throught
intestinal tube ( enterolysis / small
intestine enema )
for 2 day.
A cleansing enema may be administered to
clear colon however an enema is not always
recommended for electrolysis because enema
fluid may be retained in the small intestine
The patiens bladder should be empty before
during the procedure to avoid displacing or
compressing the ilium.
Metoclopramide 20mg orally 20 min before
exam
small bowel.
This achieved by lying the patien on right side
after the barium has been ingested
The first small intestine flouroscopy is usually
taken 15 m after the patien drink barium
The interval to the next exposure varies 15 30
until colon is reached .
A glass of ice water be given to the patient with
hypomotility after 3 -4 hr for accelerate peristalsis
The exam completed when the barium is
visualized in the cecum
Film radiograph
PA prone
Structure shown :
Demonstrated small intestine progressively
filling until reached ileocecal
Additional film
1. To separated loop of small bowel :
Oblique
With axial caudal
With table tilt head down.
2. To Diverticula
Erect position.
enema.
Before exam glucagon may be
administeredto relax intestine.
Diazepam may also be given to deminish
patien discomfort.
procedure
A retention enema tip is used .
Patient is placed in the supine position
The barium suspension is allowed to flow
Enteroclysis prosedure
Enteroclysis ( the injected of nutriens or
Prepare patient
Before the procedure is begun , the patient
Procedure
Under flouroscopy control . A bilbao or
Radiograph requested
AP
PA
Obliques
Lateral
tugas
Gambarkan struktur anatomi urinary tract
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