RADIOLOGI

SISTEM ALIMENTARI

dr. Ana Majdawati. M.Sc, Sp.Rad

Bagian Radiologi FKIK UMY
 Gastrointestinal Tract :
1. Mulut. 8. Colon Asc., Caecum &
2. Pharing. Appendix.
3. Esofagus. 9. Colon Transversum.
4. Gaster. 10. Colon Descenden.
5. Duodenum. 11. Sigmoid.
6. Jejenum. 12. Rectum.
7. Ileum. 13. Anus.
 Foto Radiologi
Foto Polos Gastrointestinal
BNO
Abdomen 3 posisi

Foto dengan bahan Kontras

Oesofagography
OMD
Barium Follow Trough
Colon in Loop
Rectography
Skema Anatomi Esofagus
Esophagography
Stomach & Duodenum (PA Supine)
Stomach & Duodenum
(RAO Prone)
Duodenum (Anatomi)
Small Intestinum (normal)
 Gambaran Radiologi
Sesuai Kasus (Skenario):
Diare : colitis, keganasan colorectal
Ikterik : cholelithiasis, cholesistitis, hepatitis,
obstruksi ductus choledochus
Akut Abdomen : perforasi, ruptur organ,
appendisitis, peritonitis, ileus, volvulus,
intussusepsi, hernia
Nyeri epigastrium : gastritis, ulcus duodeni/gaster,
keganasan, keln V.F
Filling Defect Ulceration - Stricture
OESOPHAGUS
[Oesophagus]
[Oesophagus] corkscrew -
[Oesophagus] stricture -
[Oesophagus]
[Oesophagus]
metastasis carcinoma anomali a. subclavia kanan
[Oesophagus]
Oesophageal varices Oesophageal web Pharyngeal pouch
[Oesophagus]
Atresia Esophagus
Carcinoma Esophagus
STOMACH
[Stomach]
[Stomach]
[Stomach] - divertikulum
[Stomach]

Benign ulcer
[Stomach] malign ulcer
[Stomach] benign or malign?
[Stomach]

Carcinoma
[Stomach]

Leiomyoma
[Stomach]
[Stomach]

Linitis
plastica
[Stomach]
[Stomach] - displacement

displacement
[Stomach] - displacement

displacement
Sliding
[Stomach]

hiatus
hernia
INTESTINUM
[Duodenum]
ulcer
[Duodenum] Ca Pancreas

Carcinoma
[Intestinum]

Barium Follow-Trough
[Intestinum]

Barium Follow-Trough
[Intestinum]

Obstruction
[Intestinum]

Oedema
[Intestinum]

Malrotation
[Intestinum]
[Intestinum] Crohns Disease - Narrowing
[Intestinum] Crohns Disease - Ulceration
[Intestinum] Crohns Disease Stricture, Ulceration
[Intestinum] - lymphoma

Lymphoma
[Intestinum] - malabsorption

Malabsorption
[Intestinum]

Diverticulosis
[Intestinum]

infestatio
n
Double
[Colon]

Double contrast
Barium enema

Contrast
Double
[Colon]

Double contrast
Barium enema

Contrast
[Colon]
[Colon]

Striktura
[Colon]

Appendix abcess
[Colon]

Carcinoma filling defect

[Colon]

diverticular
Diverticular disease

disease
[Colon]

diverticular
Diverticular disease

disease
[Colon]

diverticular
Diverticular disease

disease
Muscle
[Colon]

hypertroph
y
diverticula
[Colon] ulcerative colitis

ulcerative
COLITI
S
CROHNS
[Colon] Crohns Disease cobble stone appearance

diseas
e
[Colon] Crohns Disease very deep ulcers
[Colon] Crohns Disease - Stricture
[Colon] Crohns Disease or Ulcerative Colitis?
[Colon] ?
[Colon] Ischaemic Colitis
[Colon]
[Colon]

Volvulus
 Intussuception
[Colon]
[Colon]
[Colon]

Polypoid
carcinom
a
[Colon] Hirschsprungs
 Objectives of Imaging in suspected patient
of Ileus
To confirm the presence of ileus
To distinguish between obstructive (dynamic)
and paralytic ( adynamic ) ileus
To determine the level/site of obstruction
To determine the cause of obstruction
To look for findings of strangulation
To allow a good management either medically
or surgically
 Imaging modalities
Plain abdominal radiography
CT-scan
US
Barium study *
 Plain abdominal radiography
Estimated diagnostic in 50-60% of cases, equivocal in
20-30%, and normal-nonspesific or misleading-in 10%
(Balthazar)
Commonly performed in supine, upright and decubitus
positions
Diagnostic clue : dilatation of bowel with air-fluid
level, herring-bone appearance, lack or absence of air
in lower part.
To determine the site of lesion, it is important to
identify characteristic of small and large bowel
 Distinction between SBO and LBO

Small bowel Large bowel

Haustra Absent Present
Valvula conniventes Present in jejenum Absent
Number of loops Many Few
Distribution of loops Central Peripheral
Radius of curvature of loop Small Large
Diameter of loop 30-50 mm 50 mm+
Solid faeces absent May be present

Greinger,Allison. Diagnostic Radiology

adynamic
Volvulus of sigmoid
 - Selesai -

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