Routine for Overhead or Conventional Method
1. Scout film
➢ Check the technical factor
➢ Demonstrate calcific densities within the
abdominal cavity
➢ If patient is well prepared
➢ Locate the reference point
Supine or Prone
➢ Reference plane along the level of the
lower coastal arches or 2 to 3 inches
above the ASIS
Cr: perpendicular
2. Esophagus
RPO and LPO
➢ MSP at an angle of 35 to 45 degrees
Cr: perp. to the midpoint of the IR at the level of
T5 or T6
3. Stomach – Mucosal Phase
PA Projection
RF: 4 inches to the left of the pylorus
CR: perpendicular
 Stomach is move upward and to the left
causing the barium mixture to gravitate to
the fundus
 Outlines the space between the fundus
and the diaphragm and demonstrate the
posterior surface of the stomach
4. Stomach and Duodenum – filling phase
with Gastroluft
PA Projection (same)
 Demonstrates the filling of the distal half
portion of the stomach and double
contrast study of the fundus
LPO (RAO Position) – this is rao pos.
CR: perp. to the center of the cassette
 Demonstrate the filling of the pyloric bulb
and the C-loop because gastric peristalsis
is usually active if the patient is in this
position.
RAO Position (LPO Position) – lpo pos.
RF: at the level of the pylorus
CR: perp. midpoint of the film
 Demonstrate double contrast study of the
pylorus and the bulb and to separate
superimposition between the bulb and the
vertebrae.
 Filling of the fundus is also achieved
 In single contrast study, because of the
effect of gravity, the pyloric canal and
duodenal bulb are not as filled with
barium as they are in the opposite and
complimentary position (rao)
Right Lateral Projection
RF: midpoint of the film
CR: perp. to the RP
 Affords best image of the pyloric canal and
duodenal bulb in patients with
hypersthenic habitus
 Used for demonstration of the left
retrogastric space
Left Lateral Projection (same)
 Demonstrate the right retrogastric space,
duodenal loop, and duodenojejunal
function
5. One hour delayed
➢ Determine the gastric emptying
 ➢ Know how much barium is left ▪ Patient should be positioned right after
➢ Demonstrate presence of ascaris worm the ingestion of the contrast media

➢ 1st pos is supine pos.

➢ Cr is horizontal
➢ Exposure taken at the end of the
Modifications Employed in UGIS exhalation

➢ 2nd pos supine

1. Gordon’s Modification
➢ Prone position
➢ Reference point: 4 inches to the left of the
pylorus
➢ Cr: 35-35 degrees cranially (cephalad)
 Demonstrate the greater and lesser
curvature of the stomach, antral portion of
the stomach, the pyloric canal, and the
duodenal bulb for hypersthenic patients
 Filling of the distal half of the stomach is
achieved
➢ Cr is directed vertically
➢ Suspend respiration during the exposure
 Demonstrate right angle view of the
stomach and retrogastric space and
evaluation of pancreatic pathologies like
pancreatic mass, cancer, pancreatitis
Radiographic Demons of Minimal Hiatal
Hernia
Trendelenburg Position

2. Gugliantini Modification 1. Wolf Method

➢ Same pos as gordon’s ➢ Prone position

➢ Cr: 20-25 cephalad
➢ Designed only for infants  Demonstrate relationship of the stomach
to the diaphragm and diagnosing hiatal
hernia
3. Hampton’s Modification

➢ Supine position 2. Sommer-Feegelle Method

➢ Rf: along the level of the pylorus
➢ Cr: perpendicular

 Demonstrate leaf-like pattern of the

pylorus and duodenal bulb

4. Poppel’s Method (right angle of the

stomach)

➢ Demonstrate the retrogastric space and to

evaluate pancreatic mass