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Virtual Pediatric Hospital: Paediapaedia: Post Operative Stomach Evaluation Paediapaedia: Gastrointestinal Procedure Descriptions

Post Operative Stomach Evaluation

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Patient Preparation:
None

Contrast:
None

Technique:
Upright
Barium swallow - follow with fluoroscopy
If barium flows towards the right side of the spine -> Billroth I
If barium flows straight down or to left of spine -> Bilroth II or Roux En Y
If small intestine is next to esophagus -> total gastrectomy
Ba swallow - AP stomach when barium distends anastomosis
Crystals
Ba swallow while tilting down
Ba swallow while supine and then roll to RPO and then return to supine quickly and shoot AP
Ba swallow while supine and then roll to LPO and then return to supine quickly and shoot AP
Ba swallow while prone and shoot
Supine 4 on 1 to spot anastomosis (RPO for Bilroth II or Roux En Y, AP for Bilroth I)
Upright AP - stomach (fundus)
LPO - continuous swallow esophagram
4 on 1 - compression of anastomosis

Views to Take:
Not applicable

References:
See References Chapter.

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