UPPER GI SERIES AND SMALL BOWEL

Evaluation Criteria for RAO position

Duodenal bulb is in profile, proper collimation is applied.

Appropriate technique is used to visualize clearly the gastric folds without overexposing other pertinent anatomy. Sharp structural margins indicate no motion.

Evaluation criteria for PA UGIS

Body and pylorus of the stomach are filled with barium, proper collimation is applied.
Appropriate technique is used to visualize the gastric folds without overexposing other pertinent anatomy.Sharp structural margins indicate no motion.

Evaluation criteria for RIGHT LATERAL pos

Pylorus of stomach and C-loop of duodenum should be visualized well on hypersthenic patients.
No rotation should be present, vertebral bodies should be seen for reference purposes, and intervertebral foramen should be open, indicating a true lateral position.
Appropriate technique is used to visualize gastric folds without overexposing other pertinent anatomy. Sharp structural margins indicate no motion.

Evaluation criteria for LPO position

Unobstructed view of duodenal bulb should be provided, without superimposition by the pylorus of the stomach.
Fundus should be filled with barium, with a double-contrast procedure, body, pylorus and duodenal bulb are air-filled.
Appropriate technique is used to visualize gastric folds without overexposing other pertinent anatomy. Sharp structural margins indicate no motion.

Evaluation criteria for AP

Fundus of stomach is filled with barium and is near center of IR.
Appropriate technique is used to visualize the gastric folds without overexposing other pertinent anatomy. Sharp structural margins indicate no motion.

Evaluation criteria for PA projection of SMALL BOWEL SERIES

No rotation is present. The ala of the ilium and the lumbar vertebrae are symmetric.
Optimal image receptor exposure and contrast to visualize the contrast-filled small intestine without overexposing the parts that are filled only partially with barium. Sharp structural margins indicate no motion

Structure shown for PA SMALL BOWEL SERIES

Entire small intestine is demonstrated on each radiograph, with the stomach included on the first 15-minute or 30-minute radiograph.

Structure shown for AP PROJECTION

Entire stomach and duodenum are visible. Diaphragm and lower lung fields are included for demonstration of possible hiatal hernia.

Structure shown for LPO position

Entire stomach and duodenum are visible.

Structure shown for RIGHT LATERAL pos

Entire stomach and duodenum are visible. Retro gastric space is demonstrated

Structure shown for PA UGIS

Entire stomach and duodenum are visible.

Structure shown for RAO position

Entire stomach and C-loop of duodenum are visible