Overview of GI Series in

Various Pathologies of the

Gastrointestinal Tract

Dr. Paul Gottlieb ,MD, Head of Imaging Dept.

Dr. Michael Dvoyris ,MD,PhD, Senior Specialist
Dr Lihi Ringler, MD, Resident
NORMAL PLAIN FILM
PLAIN ABDOMINAL FILM

Bone stone
Gas mass

Intestinal obstruction
Free air in abdomen
INTESTINAL GAS
GAS DISTRIBUTION IN LARGE BOWEL
 NORMAL GAS PATTERN IN S.B.

Rule of 3’s:
• wall thickness < 3 mm
• valvulae conniventies < 3 mm
• diameter < 3 cm
• air fluid levels < 3
 NORMAL L.B. CALIBER

• 6 cm max. size of transverse colon

• 9 cm max. size of cecum

• 12 cm max. size of cecum before it

may burst
CALCIFIED GALLSTONES &
RENAL STONES
CALCIFIED GALLSTONE
CHRONIC PANCREATITIS
CALCIFIED UTERINE LEYOMIOMA
SMALL BOWEL OBSTRUCTION
(ADHESIONS)
FLUID LEVELS IN SMALL BOWEL
CONTRAST IN WIDTHENED
SMALL BOWEL
ADYNAMIC ILEUS - POSTOPERATIVE
ADYNAMIC ILEUS - VERTICAL PLAIN FILM
LARGE BOWEL OBSTRUCTION
LARGE BOWEL OBSTRUCTION - SIGMOID CA
PERITONEAL AIR - GASTRIC ULCER
PERFORATION
THE SAME CASE - VERTICAL POSITION
RETROPERITONEAL AIR
SINGLE CONTRAST BARIUM ENEMA EXAM

TUMOR
OBSTRUCTION
 PHARYNX

Radiographic examination of the P.is helpful in

evaluating of the large group of patients with
pharyngeal disorders.
Approximately 35% of nursing home patients
have some form of swallowing dysfunction.
Aspiration pneumonia and choking are frequent
causes of morbidity and mortality.Squamous
carcinoma of the head and neck accounts for
approximately 4% of tumors in males.
 PHARYNX
======

Nasopharynx- skull base-soft palate

Oropharynx : soft palate – hyoid bone

Hypopharynx :hyoid bone –

cricopharyngeal fold
 Tonsillar fossa

Vallecula

Pyriform
recess
 Soft palate

Base of tongue

Post.pharyn.wall
epiglottis
Aryepiglottic fold vallecula
ESOPHAGUS
 ESOPHAGUS

• Motility disorders
• esophagitis
• strictures
• neoplasm
• others
TERTIARY CONTRACTIONS
SPASM
ACHALASIA
ESOPHAGITIS
STRICTURE - RADIATION
SQUAMOUS CELL CARCINOMA
FOREIGN BODY
PERFORATION
UPPER GI PATTERNS

• mucosal irregularity
• ulcers
• fold thickening
• abnormal distensibility

• filling defects
STOMACH
FUNDUS
STOMACH

gastritis

gastric ulcer

gastric tumor / polyp

ANTRAL EROSIVE GASTRITIS
BENIGN ULCER
BENIGN ULCER
HYPERPLASTIC GASTRIC POLYPS
LEIOMYOMA
GASTRIC CARCINOMA
GASTRIC LYMPHOMA
DUODENUM
PYLORUS
DUODENAL ULCER
DUODENAL ULCER
DUODENAL CARCINOMA
LEOMYOSARCOMA
SMALL BOWEL PASSAGE
ENTEROCLISIS
SMALL BOWEL OBSTRUCTION
BY ADHESIVE BAND
CROHN’S DISEASE
“COBBLESTONE” APPEARANCE
ADENO CA OF JEJUNUM
NON-HODGKIN`S LYMPHOMA SMALL BOWELL
ORIGIN
ADENO CA OF JEJUNUM
COLON
DOUBLE CONTRAST BARIUM ENEMA OF
LARGE BOWEL
ULCERATIVE COLITIS
ULCERATIVE COLITIS
COLONIC POLYP
SIGMOID COLON

Sygmoid
carcinoma
SYNCHRONUS COLONIC CARCINOMAS
CA OF COLON - COMPLICATED UC
DIVERTICULITIS
DIVERTICOLOSIS WITH COLO-VESICAL
FISTULA