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Upper GI for high obstruction in premature infant done portably
Patient preparation: must already have feeding tube in place with tip in stomach placed by clinical service
Contrast used: iso osmolar water soluble
Technique: — With patient in supine position inject 5 cc of contrast through the feeding tube and then flush the feeding tube with 2 cc of sterile saline, turn patient to right lateral position for 5 minutes to empty stomach and then return to supine position and follow contrast through small bowel to level of obstruction
Images to obtain: AP scout image, AP image after injecting contrast, AP image after turning patient from right lateral to supine, AP image every 30 minutes as you follow contrast to level of obstruction
Looking for: duodenal atresia or duodenal stenosis or malrotation or midgut volvulus or jejunal atresia or jejunal stenosis, note you cannot document the position of the ligament of Treitz with this exam
Post procedure tasks: aspirate the stomach at the end of the exam