GIT CONTRAST STUDY

Fundamentals of Fluoroscopic
Imaging of the GI Tract
Distension
Coating
Projection

Detection
Description
Differential diagnosis
Diagnosis

Radiological descriptive
terms

Filling defect.
Ulcers
Strictures.
Diverticulum.

Filling defect
Intraluminal .
Intramural.
Extramural.

Stricture
1.Length.
2.Smooth vs.
irregular.
3.Shouldering.

Ulcers
Small vs. large.
Benign vs. malignant.

Fundamentals of Fluoroscopic Imaging of the GI Tract

Imaging findings of
some pathologic
processes:

Polyps
Mucosal Masses
Ulcers
Diverticulum
Submucosal
masses/extrinsic
compression
Stictures/ webs/
rings

Radiological descriptive
terms
Filling defect
Stricture
Small Ulcer
Large ulcer
Nodules or plaques
Rings and webs
Diverticulum
Abnormal dilatation.
Abnormal mucosal pattern.
Abnormal peristalsis.

Barium swallow
Barium swallowis a dedicated
test of thepharynx,oesophagus,
and proximalstomach,and may
be performed as a single or
double contrast study. The study
is often "modified" to suit the
history and symptoms of the
individual patient, but it is often
useful to evaluate the entire
pathway from the lips to the

Indications
high or lowdysphagia
gastro-oesophageal
reflux disease (GORD/GERD)
assessment ofhiatus hernia
generalised epigastric pain
globus hystericus
persistent vomiting
assessment of fistula
inability to pass the endoscopeduring
UGIE

Diverticulum

Differential Diagnosis
Esophageal Diverticula Differential Diagnosis
Cervical:
Zenker's
Traction (secondary to surgery, infection).
Lateral
Killian-Jamieson

Midesophageal:
Traction
Pulsion

Epiphrenic diverticula
Intramural esophageal pseudodiverticulosis
Eisenberg. Gastrointestinal Radiology: A Pattern Approach.
Second Edition. Copyright 1990 J.B. Lippincott Company
(Philadelphia).

Differential Diagnosis
Webs:
Idiopathic
Plummer-Vinson syndrome: Multiple
webs associated with iron deficiency

Rings:
Congenital: vascular, muscular
Schatzki's ring: Some would argue that
this is actually a web.
Salamipour, Weissleder, Wittenberg, Harisinghani. Differential
Diagnoses from Weissleder's Primer of Diagnostic Imaging. Third
Edition. Copyright 2003 Elsever (USA).

Differential Diagnosis
Strictures:
Skin lesions in the proximal third of the
esophagus: epidermolysis, pemphigoid
Tumor
Esophagitis: lye, Barret's esophagus,
radiation, and infection
Achalasia, scleroderma, and Chagas'
disease
Salamipour, Weissleder, Wittenberg, Harisinghani. Differential
Diagnoses from Weissleder's Primer of Diagnostic Imaging. Third
Edition. Copyright 2003 Elsever (USA).

Differential Diagnosis
Megaesophagus
Achalasia
Scleroderma
Dilatation secondary to:
Tumor
Stricture
Chagas disease
Diabetic or alcoholic neuropathy
Bulbar Palsy
Salamipour, Weissleder, Wittenberg, Harisinghani. Differential
Diagnoses from Weissleder's Primer of Diagnostic Imaging. Third
Edition. Copyright 2003 Elsever (USA).