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Esophagus and UGI

Esophagus and UGI. Patient Preparation. Ask if patient has any metal objects in clothing ( zippers, buttons, snaps, etc.) Any jewelry that might obscure the certain areas of interest. ( navel rings) Present patient with a gown to change into. Esophagus. One view RAO 14 x 17 Lengthwise

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Esophagus and UGI

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  1. Esophagus and UGI

  2. Patient Preparation • Ask if patient has any metal objects in clothing ( zippers, buttons, snaps, etc.) • Any jewelry that might obscure the certain areas of interest. ( navel rings) • Present patient with a gown to change into.

  3. Esophagus • One view RAO • 14 x 17 Lengthwise • Average technique 110 @3

  4. Positioning • Patient prone on the table • Rotate 35-40 with the right anterior portion against table. • Place right arm down beside patient • Left arm flexed at elbow by patient’s head to hold cup • Flex left knee for support • Shield patient at waist.

  5. CR is perpendicular to T5-T6 About 3 inches below jugular notch SID 40 Collimate about 6 inches wide. Place marker in light field Suspend breathing

  6. Film critique • Esophagus should fall between spine and heart. • Esophagus should be filled with barium • Adequate rotation

  7. UGI • 3 views • AP, 14 x 17 • LPO, 11 x 14 • Right Lateral 11 x 14 • Page 480 • 125 @ 4-7

  8. AP Positioning • Patient is supine on the table. • Align stomach to midline of table. • Ensure body is not rotated. • Arms at side • Place shield over waist

  9. CR perpendicular to L1 Mid-way between lower rib margin and Xiphoid tip SID 40 Collimate to cassette and place marker in light field Expiration

  10. Different centering positionsfor all positions • Sthenic patient is at L1 • Hypersthenic is 1 inch above L1 • Asthenic is 2 inches below L1 and nearer to mid-line

  11. Film Critique • Entire stomach and duodenum • Diaphragm and lower lung fields • Fundus is filled with barium

  12. Positioning of patient for LPO • Patient supine on table • Rotate 30-60 degrees from supine depends on size of patient. • Flee knee for support • Extend left arm from body and raise right arm across chest to hold to side of table • Place bottom of cassette or Light at the top of the crest • Shield patient at waist.

  13. Rotation for LPO UGI • Sthenic 45 degrees • Hypersthenic 60 degrees • Asthenic 30 degrees

  14. CR midway between xiphoid tip and lower rib margin mid-way between the midline and left lateral side. SID 40 Collimate to cassette and place marker in light field Expiration

  15. Seen on Film • Stomach and duodenum • The duodenal bulb • Barium filled fundus

  16. Positioning for Right lateral • Roll patient up on right side • Shoulders and hips in true lateral positioning • Flex knees and position arms up out of way • Midline is 1 to 1 ½ posterior to midline of table • Place shield over waist

  17. CR L1 and 1-1 ½ inches anteriorly bottom of light at top of crest SID 40 Collimate to cassette Expiration

  18. Film Critique • Entire stomach • Retrogastric space • No rotation

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