Presentation is loading. Please wait.

Presentation is loading. Please wait.

PERFORMING A BARIUM MEAL Department of Diagnostic Radiology 23 March 2012 M. Pieters.

Similar presentations

Presentation on theme: "PERFORMING A BARIUM MEAL Department of Diagnostic Radiology 23 March 2012 M. Pieters."— Presentation transcript:

1 PERFORMING A BARIUM MEAL Department of Diagnostic Radiology 23 March 2012 M. Pieters

2 Anatomy of the stomach J-shaped Varies in size and shape

3 Stomach in situ

4 Anatomy of the stomach


6 Layers of the stomach Three muscle layers, three mucosal layers

7 Arterial supply Coeliac artery Common hepatic artery

8 Posterior relations


10 Anterior relations

11 Lesser sac

12 Venous drainage

13 Lymph drainage of the stomach

14 Stomach innervation

15 Barium meal

16 Indications Dyspepsia Weight loss GIT haemorrhage Failed upper GIT endoscopy Assessment of perforation site Upper abdominal mass Unexplained iron deficiency anaemia Partial obstruction

17 Contra-indications Complete large bowel obstruction

18 Complications Aspiration Intra-peritoneal leakage Ba appenticites

19 Contrast agents Barium Sulphate eg. E-Z HD 250% Carbex granules

20 Patient preparation NPO 6hrs prior History – no pharmacological contra-indications

21 Technique (Double contrast) PositionFilmActionReasoningVisualization Erect/sitting-Pt drinks fizzing agent To distend the stomach - On left sideScreenPt drinks barium Delays passage to duodenum Greater curve Supine, tilted to the right side ScreenCough or swallow H2O Ba flows to GE-junction Observe for reflux Unchanged-IV muscle relaxant -- Roll to right, complete circle, end supine, left tilt -Coating of the gastric mucosa

22 Technique (Stomach Spot Films) PositionFilmActionReasoningVisualization Supine, tilted to the left RAO--Antrum and greater curve SupinePA--Antrum and body Supine, tilted to the right LAO--Lesser curve en face On right side, head up 45 o Left lateral--Fundus AP

23 PositionFilmActionReasoningVisualization Return to supine, on left side, then prone APPt on compression pad Avoid Ba flooding duodenal loop AP of the Duodenal loop Roll to right side, supine, then supine tilted to the left RAO-Avoid Ba flooding duodenal loop RAO of the Duodenal cap Turn supine (shortest route) PA--PA of the Duodenal cap Lie supine and tilted to the right LAO--LAO of the Duodenal cap Technique (Duodenal Spot Films)

24 Technique (Erect Views) Fundal lesion suspected PositionFilmVisualization ErectPAFundus ErectRAODuodenal cap and Fundus ErectLAODuodenal cap and Fundus

25 Technique (Oesophageal views) Barium swallow to conclude exam Either spot films or dynamic screening PositionFilmVisualization ErectRAOOesophagus

26 Bibliography A Guide to Radiological Procedures 5 th ed - Aitchison Diagnostic and Surgical Imaging Anatomy: Chest.Abdomen.Pelvis - Federle Anatomy for Diagnostic Imaging 3 rd ed – Ryan Atlas of Human Anatomy 5 th ed – Netter Atlas of anatomy – Gilroy Web references: /ugi/frame_set.htm /ugi/frame_set.htm




Download ppt "PERFORMING A BARIUM MEAL Department of Diagnostic Radiology 23 March 2012 M. Pieters."

Similar presentations

Ads by Google