lesson 8

Question 1

Radiographic examination of the distal esophagus, stomach and duodenum after administration of CM. Also called Barium meal or GI Series. Used to study
radiographically the form and function of distal esophagus, stomach, and duodenum

Answer 1

UPPER GASTROINTESTINAL SERIES (UGIS)

Question 2

TYPE OF EXAMINATION UPPER GASTROINTESTINAL SERIES (UGIS) and SMALL INTESTINAL SERIES (SIS)

Answer 2

1. Single Contrast Exam
2. Double Contrast Exam
3. Dual/Biphasic/Welin Technique
4. Hypotonic Duodenography

Question 3

gross pathology, very ill patients, and children. 1 type of contrast media is used usually positive CM.

Answer 3

Single Contrast Exam

Question 4

small lesion, mucosal lining. Combination of positive and negative CM. Have the patient turn from side to side to cover the whole organ.

Answer 4

Double Contrast Exam

Question 5

combination of single exam and double exam on the same day.

Answer 5

Dual/Biphasic/Welin Technique

Question 6

less frequently done examination, duodenal lesion.

Answer 6

Hypotonic Duodenography

Question 7

suggested introduction of CM through intubation passing through the nose and mouth.

Answer 7

*Liotta

Question 8

UPPER GASTROINTESTINAL SERIES (UGIS)
PREPARATION:

Answer 8

1. Intake of Glucagon prior to examination or
   introduction of CM (use to relax abdominal
   muscles)
2. Light Evening Meal
3. NPO at midnight
4. Food withhold for 8 hrs. (<1 y/o = 4 hrs., 1 y/o = 6
   hrs.)
5. No Breakfast until exam is finished.

Question 9

UPPER GASTROINTESTINAL SERIES (UGIS)
POST PROCEDURAL CARE:

Answer 9

1. Instruct the patient to drink plenty of fluids; and
2. To take mild laxative

Question 10

• long tube structure connecting to the stomach and the colon,
  measuring about 22 ft. It is where most of the nutrient
  absorption happens.

Answer 10

SMALL INTESTINES

Question 11

c-shaped part situated proximally and connected
to the stomach, measuring about 10 inches, shortest segment.
(RUQ,LUQ)

Answer 11

Duodenum

Question 12

has coiled spring, feathery appearance in the radiograph, measuring about 2/5 of the total length of the small intestine (2.5m) where most digestion happens. (LUQ,LLQ)

Answer 12

Jejenum

Question 13

last section, measuring about 3.5 meters, longest
segment where most absorption happens. (RUQ)
Ileocecal Valve – valve that connects to large intestine

Answer 13

Ileum

Question 14

Radiographic examination of the three components of the small bowel to detect
abnormal conditions and to study form and function

Answer 14

SMALL INTESTINAL SERIES (SIS)

Question 15

SMALL INTESTINAL SERIES (SIS)
PREPARATION:

Answer 15

1. 2 days low residue diet
2. NPO after midnight
3. No breakfast
4. Cleansing enema be given in some cases to clear
   the colon

Question 16

contrast media is introduced into the duodenum to examine small bowel.

Answer 16

Enteroclysis (double contrast study)

Question 17

single lumen catheter advance to jejenum, uses water soluble
iodinated contrast media or thin mixture of BaSO4

Answer 17

.Intubation Method (single contrast study)