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