Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Barium or low osmolar nonionic - never use Gastrografin because if aspirated it can cause severe pulmonary edema.
Use nasogastric tube or 8 french feeding tube with the tip in stomach - fluoroscope to check this first.
Don't over distend stomach with contrast.
Start with left side down.
Give 5-10 cc of contrast through the nasogastric tube.
Turn to right side down to facilitate gastric emptying.
When contrast is seen to enter 3rd/4th part of duodenum, turn the patient supine and document the position of the duodenal jejunal junction with a spot film.
Aspirate the stomach at the end of the exam.
Views to Take:
Document the position of the Ligament of Treitz
See References Chapter.
Section Top | Title Page
Follow us on Twitter @pedseducation and @pedsimaging and Facebook @pedsimaging and Instagram @pedsimaging
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2016 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.