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UGI 2 A
Question | Answer |
---|---|
RAO stomach IR placement | centered 1-2” above the lower rib margin at L1, L2. |
RAO patient rotation | 40-70 degrees |
RAO stomach structures shown | stomach and duodenal loop. Best image of pyloric canal and duodenal bulb |
Eval criteria RAO stomach | entire stomach and duodenal loop, no superimposition of pylorus and duodenal loop, duodenal loop and bulb in profile, stomach centered at the pylorus, exposure technique that demonstrated the anatomy |
LPO IR placement | midway between the xiphoid and lower rib margin. |
LPO patient obliquity | avg. 45 degrees, 30-60 degrees |
LPO eval criteria | entire stomach and duodenal loop, fundus, no superimposition of pylorus and duodenal bulb, body of stomach centered, body and pylorus with double contrast, adequate exposure |
LPO structures shown | fundus of the stomach filled with barium |
Patient position for recumbent lateral stomach | left lateral (rt. Side down) for the left retrogastric space, and right lateral for the right retrogastric space, duodenal loop, duodenojejunal junction |
Anatomy seen on a lateral stomach | anterior and posterior borders, pyloric canal and duodenal bulb |
Eval criteria lateral stomach | entire stomach and duodenal loop, no rotation, stomach centered at the pylorus, exposure technique demonstrating anatomy |
AP stomach IR placement | midway between the xiphoid process and lower rib margin |
Structures shown on AP stomach | barium filled fundus and double contrast body, pylorus and duodenum |
AP stomach eval | entire stomach and duodenal loop, double contrast of the gastric body pylorus and duodenal bulb, retrogastric portion of duodenum and jejunum, lower lung fields, stomach centered at the pylorus, no rotation, adequate technique |