A Pediatric Radiology textbook and Pediatric Radiology digital library
Gapogram
Patient preparation: none
Contrast used: none
Technique: pediatric surgery inserts a Bougie dilator into the proximal esophageal pouch via the mouth and another Bougie dilator into the distal esophageal pouch via the gastrostomy tube tract
Images to obtain: AP image of the chest with maximum tension being exerted upon the proximal and distal Bougie dilators
Looking for: measurement of the gap between the proximal and distal esophageal segments in esophageal atresia patients who could not undergo an immediate esophageal atresia repair
Post procedure tasks: pediatric surgery replaces gastrostomy tube