1 Gastrointestinal Lecture RTEC 124 – SP 2011 Contributions by Kenneth Bontrager & Phil Ballinger Mosby Publications D. Charman Spring 2011 Week 9

2

3

4 HYPERSTENIC STENIC

5 HYPOSTENIC ASTENIC

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25 ESOPHOGEAL VARICIES

26

27 Hiatal Hernia Reflux

28

29

30 Upper GI Series: AP SCOUT FILM = CENTER ABOVE IC

31

32

33

34 “spot films”

35 ‘OVERHEADS” POST FLUORO FILMING FOR UGI

36 Tip of scapula / below crest

37

38

39

40

41

42

43

44

45

46 Position?

47

48

49 Which is RAO or LPO ?

50 Position ?

51

52

53

54

55

56 AP vs PA

57 hiatal hernia above the level of the diaphragm Common pathologies

58 GASTROINTENSTIAL CONTRAST MEDIA

59

60

61

62

63

64

65 Small Bowel Series AP ABD– Scout Contrast given Films taken every 15 minutes for first hr. Center 2” above crest to include diaphram – as contrast moves down – re center CR to or slightly below IC May alternate AP and PA positions better delineation of small intestines

66 SCOUT & GI WITH SMB

67 SMB Timed study

68

69

70

71 SMB completed when barium reached TI Spot compressions of TI Must have a CRT Fluoro License to perform!

72

73

74 Enteroclysis procedure

75

76

77 GASTRIC BYPASS SURGERY

78 Review of PROCEDURES ESOPHOGRAM UGI SMALL BOWEL SERIES

79 ESOPHOGRAM ??? SCOUT?? UPPER ESOPHO – VIDEO/CINE 3 FRAMES PER SEC FULL FILMS – OVERHEADS WHILE DRINKNG RAO / LAO RT LATERAL CENTER LOWER EAR TO FUNDUS

80 UGI SCOUT – AP (LOW KVP) OVERHEADS – HIGH KVP PA (OR AP) RPO / LAO RT LATERAL

81 SMB SCOUT – AP TIMED AFTER CONTRAST AP/PA 15 /30 / 45 MIN / 1 HOUR 11/2 HOUR / 2 HOUR 3 /4/ 5 ETC TO TI ‘SPOT’ TI (RAD OR FLUORO LIC TECH)

82 NEXT WEEK BARIUM EMEMAS & GI PATH Lecture SERIES NOTES for BE DUE BEGINNING OF CLASS QUIZ EACH WEEK THE END FOR NOW!

83