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Esophagus and UGI
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.

Esophagus
 One
view RAO
 14 x 17 Lengthwise
 Average technique 110 @3
Positioning
 Patient
prone on the table
 Rotate 35-40 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.
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
Film critique
 Esophagus
should fall between spine and
heart.
 Esophagus should be filled with barium
 Adequate rotation
UGI
3
views
 AP, 14 x 17
 LPO, 11 x 14
 Right Lateral 11 x 14
 Page 480
 125 @ 4-7
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
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
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
Film Critique
 Entire
stomach and duodenum
 Diaphragm and lower lung fields
 Fundus is filled with barium
Positioning of patient for LPO
 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
 Shield patient at waist.
Rotation for LPO UGI
 Sthenic
45 degrees
 Hypersthenic 60 degrees
 Asthenic 30 degrees
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
Seen on Film
 Stomach
and duodenum
 The duodenal bulb
 Barium filled fundus
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
CR L1 and 1-1 ½ inches anteriorly
bottom of light at top of crest
SID 40
Collimate to cassette
Expiration
Film Critique
 Entire
stomach
 Retrogastric space
 No rotation