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

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Gastrointestinal Lecture RTEC 124 – SP 2011

Contributions byKenneth Bontrager &

Phil BallingerMosby Publications

D. Charman Spring 2011 Week 9

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HYPERSTENIC STENIC

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HYPOSTENIC ASTENIC

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25ESOPHOGEAL VARICIES

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Hiatal Hernia Reflux

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30Upper GI Series:

AP SCOUT FILM = CENTER ABOVE IC

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“spot films”

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‘OVERHEADS”

POST FLUORO FILMING FOR

UGI

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Tip of scapula / below crest

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Position?

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Which is RAO or LPO ?

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AP vs PA

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hiatal hernia above the level of the diaphragm Common pathologies

58GASTROINTENSTIAL CONTRAST MEDIA

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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

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GI WITH SMB

67SMB Timed study

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71SMB completed when barium reached TI

Spot compressions of TI

Must have a CRT Fluoro License to perform!

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Enteroclysis procedure

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GASTRIC BYPASS SURGERY

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Review of PROCEDURES

• ESOPHOGRAM

• UGI

• SMALL BOWEL SERIES

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ESOPHOGRAM

• ??? SCOUT??• UPPER ESOPHO – VIDEO/CINE• 3 FRAMES PER SECFULL FILMS – OVERHEADS WHILE

DRINKNG• RAO / LAO• RT LATERAL • CENTER LOWER EAR TO FUNDUS

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UGI

• SCOUT – AP (LOW KVP)

• OVERHEADS – HIGH KVP

• PA (OR AP)

• RPO / LAO

• RT LATERAL

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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)

82NEXT WEEKBARIUM EMEMAS & GI PATH Lecture

SERIES NOTES for BE DUE BEGINNING OF CLASS

QUIZ EACH WEEK

THE END FOR NOW!

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