Introduction:

Upper Gastrointestinal Series or UGIS is a real time X-ray called uoroscopy and barium-based
contrast material to produce image speci cally to evaluate esophagus , stomach and small
intestine.

Good afternoon mam i am Jhan Vic and I will be your RadTech for today and I will be also
assisting you throughout the procedure

Patient preparation/instructions:

1. Stomach is empty. (Stomach and intestine)

2. Colon should be free of gas and fecal material. (That could obstruct the view of the
stomach) (A non- gas forming laxative maybe administered 1 day before the examinations if
constipated
3. Soft, low residue diet for 2 days to prevent gas formation from excessive fermentation of
the intestinal contents.
4. Cleansing enemas may given
5. NPO for 9 hours prior to the examination ( food and water should be withheld)
6. No smoking or chewing of gum after the midnight on the night before the exam ( it
could stimulate gastric secretion so these are often restricted for the same time frame)

There are two contrast examination is administered

Single Contrast examination -there is only barium that is administered and the position is in
prone position

Double contrast - barium and air , negative cm that is administered

Patient Identi cation

1. Always check the request twice to con rm if it is the procedure to be performed

2. Call the patient with her full name , age , birthday

Patient history taking

1. Always ask the patient LMP or last menstrual period

(Mam when was our last menstrual period)

2. If the patient con rm that she is not pregnant , ask if the patient if it’s her rst time doing this
Procedure
( is this your rst time having this procedure?)

3. Ask the patient if it is allergy or has a past medical condition

( do you have any known allergy or past medical condition?)

4. Ask her why did the doctor request for this procedure?
(Mam what possible reason why your doctor request for this procedure?)
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Once done with history taking , explain the procedure to the patient and answer all
questions in words that the patient can understand

Patient Preparation

1. A patient undergoing UGIS should also dressed in an appropriate hospital gown

2. It is instructed removed clothing , shoes , socks or any jewellery that could interfere with
radiograph

Patient positioning & Part Position

1. Place the patient in a prone position with pillow for the head
2. Place also a support under here knees for comfort
3. with arms up beside head; provide a pillow for patient’s head.

Radiation Protection

1. Apply proper lead shielding to radiosentive areas such as the thyroid and gonads

Cassette size

1. Cassette size 11 x 14
2. Lengthwise (Bucky in)
3. Grid

Caliper

1. Body thickness x2 + constant

SID

1. 40 inches

Central ray & reference point

1. Central ray 1-2 above lower ribs margin at the level L1 and L2 when prone suspended
respiration (May vary with body habitus)

Note: should include entire stomach and duodenal loop

Collimate

Direct CR perpendicular to IR.

• Sthenic type: Center CR and IR to level of pylorus and duodenal
bulb at level of l1 (1 to 2 inches [2.5 to 5 cm] above lower lateral rib margin) and about 1 inch
(2.5 cm) left of the ver- tebral column.
• asthenic: Center about 5 cm (2 inches) below level of L1.
• o: Center about 5 cm (2 inches) above level of L1 and nearer midline.

Technical Factors (kVp,mAs)

1. 100 to 125 kV range

2. Bucky in: 200mA x 0.10 = 20mAs

Respiration
Suspend respiration and expose on expiration.

Structure Shown

Asthenic - pyloric canal and duodenal bulb in pro le

Sthenic - pyloric canal and duodenal bulb superimposed by

Prepyloric portion stomach

Hyperstenic - pyloric canal and doudenal bulb completely

Superimposed by prepyloric portion of stomach

Clinical indications

1. Polyps
2. Diverticulum
3. Gastritis in the body and pylorus
4. Neoplasm
5. Bezoar
6. Diverticula

After the procedure assist the patient and let her change to her clothes

Before escorting the patient out of the X-ray room, instruct the patient of the following

1. To eat leafy vegetables and drink water and Take a laxative that prescribed by a physician
2. Inform that there will be changes in stool until all barium has been evacuated

After instructing , Escort the patient out of the X-ray room.

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