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A Photographic Method of the Anterior Wall of the Stomach by Rotation of the Examinee R. Hattori 1 , S. Ozawa 2 , Y. Kitazawa 3 1Hattori Hospital 2Ozawa Hospital 3The Daiichi Center of Social Health Insurence Scheme pp.1063-1074
Published Date 1972/8/25
DOI https://doi.org/10.11477/mf.1403109180
  • Abstract
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 After the examinee has been given orally 0.4 gr of 1% Extractum scopoliae, the stomach is distended with an appropriate amount of air (ca. 400 cc) sent into it by a vynyl tube or else formed by swallowing effervescent tablets. Next the fluoroscopic table is tilted to a horizontal position with the examinee prone. In order not to let the air escape from the stomach, we usually place a small cushion under the pubic bone, and then let the examinee swallow about 120~150 ml of 100% barium meal without change of posture. Then we tilt the table-top up and down (pitching) or let his body roll from left to right (rolling) both for several times for the purpose of letting barium meal adhere more fixedly to the mucosal surface of the anterior wall. After contrast medium has stuck to it, we then tilt the head further down from -10°to -15°. The examinee is then asked to roll onto his back with his left side down, i. e., the cardiac side down, barium meal now collecting in the mucus lake in the fornix. Many exposures of the anterior wall are then made.

 This method is so simple and easy that even a novice can take good pictures. Cascade stomach often seen in the obese can be photographied as clearly as gastroptosis.

 Changes on the anterior wall can be interpreted in the same way as those in double contrast method, because pictures on the anterior wall are due to tangent effect. It must be also taken into account that findings on the anterior wall do not have to be seen through the mucosa of the posterior wall since this method is solely a one-side photography of the anterior wall. In this respect, scrutiny and interpretation of pathologic changes here are simple and clear. However, one of the drawbacks of tangent effect, lies in the difficulty of delineating a gentle slope of the mucosal surface as in submucosal tumors. It is more suitable for depicting abrupt elevation or sudden depression. It is also unsuitable for good exposures of the anterior wall of the fornix, because in the supine head-low position barium meal assembles in the cardiac lake.


Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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