Peds Upper GI

 
 
 
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*   Peds Upper GI
*   http://www.radreport.org/template/0000109	


Type: Reporting template
Language: English (en)
Modified date: 2012-07-18
Creator: Meyer JS, et al.
Contributor: Society for Pediatric Radiology (SPR)
	
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Upper GI Series

History: 

Comparison: <date>

Technique: The patient was given [#] cc of [barium | water-soluble contrast material] [by mouth | through a feeding tube | through the gastrostomy] and images of the esophagus, stomach, duodenum, and proximal mesenteric bowel were obtained.

Findings:

A scout view shows [    ].  

Swallowing is [normal | abnormal] resulting in [no aspiration | aspiration] of contrast.  The esophagus is [normal*] in caliber.  Esophageal motility is [normal | abnormal] and emptying of contrast from the esophagus is [prompt | delayed].

The stomach is [normal | large | small] in size.  The gastric mucosa is [normal | thin | thickened].  [No penetrating ulcers | Penetrating ulcer] is seen.

Contrast [empties promptly | empties slowly | does not empty] into the duodenum.  The duodenum is [normal | dilated] in caliber.  [No obstruction | Obstruction is present] in the [first portion | second portion | third portion | fourth portion] duodenum.  The [ligament of Treitz | duodenojejunal junction] lies in a [normal | abnormal | low] position.

Gastroesophageal reflux [was observed | was not observed] [into the upper esophagus | into the lower esophagus | into the oropharynx].

IMPRESSION:
[Gastroesophageal reflux | No gastroesophageal reflux].
[Normal | Delayed]gastric emptying.
[Findings of | No findings of] intestinal malrotation [with | without] duodenal obstruction.