Upper GI w/ AIR PRINT

UGI with AIR Protocol

I. Equipment (May vary between sites)

a. 1 bottle EZ HD (mix with 60mL cold water)
b. Liquid E-Z paque (Thin barium)
c. EZ Gas II 1 package (open)
d. Small medicine cup (fill to approx. 1 tsp. line with water)
e. 1 EZ Disk Barium Tablet (when necessary)
f. 3 cups / 2 straws

i. Cup 1- thick barium
ii. Cup 2- thin barium
iii. Cup 3- water

II. Personnel

a. Radiologist/RA

i. Responsible for administering contrast, giving patient instructions, and taking spot images

b. Hospital Technologist

i. Prints order for review by radiologist/RA
ii. Documents patient history and pregnancy status prior to exam
iii. Assists the radiologist or fluoroscopy technologist during procedure
iv. Provides patient with aftercare instructions

III. Procedure

a. Scout image

i. Upright scout required for patients s/p endoscopy or surgical procedure (within 1 week)
ii. Must be acquired on expiration and include bilateral hemidiaphragms
iii. To be cleared by radiologist/RA

b. Esophageal images with patient standing

i. LPO and AP, Lateral cervical esophagus (if aspiration suspected or ordered w/ esophagram)

c. Recumbent imaging

i. Single swallow of thin barium to evaluate motility (RAO)
ii. Images of stomach and bulb mucosa w/ air and barium

1. RAO- pylorus, duodenal bulb and C-loop barium filled, air filled fundus
2. R. Lateral- air filled fundus, barium filled antrum and c-loop
3. LPO- air filled antrum, bulb, c-loop

iii. Reflux check
iv. Add lead ruler to field of view for measurement purposes if hiatal hernia present (include HH measurement in dictation)

d. Post exam KUB
e. Stand table
i. 13mm Ba tablet (when necessary)

IV. Patient Prep

a. NPO after midnight