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

4. Positioning Patient prone on the table
Rotate 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
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. Mid-way between lower rib margin and Xiphoid tip SID 40
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 positions for 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 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. bottom of light at top of crest SID 40 Collimate to cassette
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