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Barium Meal - Stomach
The outline of the stomach is obvious. Observe the air bubble in the fundus (F).
The blue arrow shows the pylorus. This is an excellent illustration of the fact that contrast media outline the cavity. The pyloric sphincter is a small mass of muscle and therefore not visible, just a thin line of barium is seen in the narrow channel in the sphincter (point of the arrowhead).
Note the extensive spread in the intestines. This is all small intestine – in some parts you can see the breaks in the continuity of barium due to the plicae circulares.
To see the details of the colonic wall, sometimes a barium enema is given. After it is evacuated, air is introduced in the colon. The dark air contrasts with a thin layer of barium sticking to the wall of the colon. This is called double contrast.
F
Key Points :
Understand how anatomical features correlate with appearances on images. Make sure you see in the lab other images of all organs, especially double contrast images of the colon.