Esophagus and UGI

1
Esophagus and UGI
2
Esophagus

• One view RAO
• 14 x 17 Lengthwise
• 110 _at_3
• Shield Marker
• Take exposure while swallowing
• Collimate laterally about 6 inches wide

3
Positioning

• Patient prone on the table
• Rotate 35-40 with the right anterior portion
  against table( elevate left side)
• Place right arm down beside patient
• Left arm flexed up at elbow by patients head to
  hold cup
• Flex knee for support
• Place IR about 2 inches above shoulder
• Align mid thorax to midline of table

4
CR is perpendicular to T5-T6 About 3 inches
below jugular notch SID 40
5
Seen on Film

• Esophagus between spine and heart

6
UGI

• 3 views AP, LPO, Lateral
• Page 476-478

7
AP or PA

• 11 x14 lengthwise
• 125 _at_ 4
• Shield
• Marker
• Expiration
• No collimation
• Page 476-478

8
AP or PA Positioning

• Patient is on the table Supine or Prone
• Arms at side
• Align midline to midline of table

9
CR perpendicular to
L1 Mid way between lower rib margin and Xiphoid
tip Sid 40
10
Seen on film

• Entire stomach
• Duodenum
• Diaphragm and lower lung fields

11
LPO Oblique

• 11 x 14 lengthwise
• 125 _at_ 5
• Expiration
• Shield
• Marker
• No collimation

12
Positioning of patient

• 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

13
CR midway between xiphoid tip and lower rib
margin Average patient- Left of
midline SID 40
14
Seen on Film

• Stomach
• The duodenal bulb

15
Right Lateral

• 11 x 14 lengthwise
• 125 _at_ 7
• Marker
• Shield
• Expiration
• No collimation

16
Positioning

• Roll patient up on right side
• Shoulders and hips in true lateral positioning
• Flex knees and position arms up out of way

17
CR L1 lower rib margin and 1-1 ½ inches
anteriorly SID 40 Bottom of
light at top of crest
18
Seen on film

• Entire stomach
• Retrogastric space
• Pylorus of stomach
• C-loop of duodenum