21. Pylorospasm, fistulae , enlarged gastric rugae, filling defects
due to large masses, obstructive features better on single
contrast
22.
23. GASTRIC RUGAE AREA GASTRICAE
Gastric rugae โ longitudinal folds seen in mucosa of
fundus and body. More prominent in GC.
Fine reticular network of barium coated groves between 1-5
mm islands of mucosa. More visible in old patients. Absent in
atrophic gastritis, enlarged in gastritis. More obvious in distal
2/3rd.
24.
25. RAO
Body and antrum
Single contrast Double contrast
Fundus Supine Erect
Body Erect / prone Supine
Antrum and pylorus Prone rt side down Supine right side up
26. Angular Notch
Incisura Angularis
Barium Meal, Double Contrast (Supine Position)
BodyAntrum
Supine Position:
Note Barium Distribution
in the Fundus due to
gravity
27.
28.
29.
30.
31.
32.
33. Overhead radiograph enteroclysis (small bowel enema)
shows the jejunum (J) in the left upper quadrant and the
ileum (I) in the right lower quadrant
36. Barium Meal + Follow-Through
(Erect Position)
Barium Meal
Barium
Follow-Through
Duodenal Cap
Pyloric Canal
2nd Part of
Duodenum
3rd Part of
Duodenum
Body
Antrum
DJJ:
Normal Position= Left side
Angular Notch
Incisura Angularis
Jejunum:
Plica Circularis on the
outer border
Ileum
37.
38.
39. Barium introduced directly into the small intestine making it easier to
identify morphological abnormalities