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1、Digestive system IThe 3rd affiliated hospital of sysuAbdomen refers to anatomic structure between the range of diaphragma and pelvic cavity, including intraabdominal organ (alimentary tract and digestive gland, urinary tract, reproductive system), peritoneal cavity, spatium retroperitoneale、abdomina
2、l wallDiagnosis techniqueNormal abdomen radiographySupine positionErect positionNormal esophagusBarium mealBarium follow -through barium enema ，display engorged phase and mucosal phaseAir-barium double-contrast enemaAir-barium double-contrast enemamethod drink contrast agent : 8001000mlCT：esophagusa
3、ir enemaCT scanCT virtual endoscopycolon carcinomacolonoscopyAngiographyNormal Appearancesinus piriformisepiglottis valleculaBarium meal examinationimpression by arch of aortaimpression by left principal bronchusimpression by left atrium of the heartnormal X-ray anatomy of esophagusDivision:Cervical
4、 part Thoracic partAbdominal partnormal esophagusNormal abdomen radiographySupine positionErect positionupper gastrointestinal barium examinationstomachangular incisure mucosal foldcardia cardiac incisure antrumbodyfundusgreater curvature lesser curvature canalis pyloricus Stomachal morphous can div
5、ide into four types :crest of iliumasthenicstomach cascade stomachfishhook stomachsteerhorn stomachfour types of stomachal morphous fishhook stomachsteerhorn stomachcascade stomachasthenicstomachNormal gastric mucosalesser curvature - parallel, smoothgreater curvature -irregular, nodulargastric fund
6、us -curved, reticulategastric antrum -parallel or oblique to lesser curvaturePars horizontalis Pars ascendens pars descendens pancreas portal vein ductus hepaticus communis hepatic arterybulbdivisions of duodenum and adjacencepars horizontalispars ascendens pars descendenspancreasportal vein ductus
7、hepaticus communis ductus choledochusductus pancreaticusdivisions of duodenum and adjacenceduodenal papilladuodenumportrait mucosawhole constructionmany folds, a feather-like patternduodenumNormal duodenumNormal duodenum1234561：duodenum2： proximal jejunum :at left upper quadrant of the abdomen 3; di
8、stal jejunum; small intestine at left lower quadrant of the abdomen 4： proximal ileum: small intestine at mid abdomen5： mid ileum ,small intestine at right-middle lower quadrant of the abdomen 6： distal ileum ,small intestine at pelvisJejunum and IleumCharacteristicJejunumIleum Positionupper 2/5lowe
9、r 3/5 Diametergreater, 23cmless mucosafeather-like, numerous mucosaless, mucosaperistalsisactivelyweakjejunum and ileumjejunum and ileumcaecumascending colontransverse colondecending colonsigmoid colonmucous membrane of colon ：combination of three directions-portrait、transverse、obliquehaustra of col
10、onsemilunar foldNormal large intestineSigmoid colonappendix vermiformisNormal large intestineappendixX-ray finding of basic pathologyFilling defectesophageal carcinoma(hyperplasy)lintraluminal filling defect;lloss of mucosal folds;lnarrowing of the lumen filling defectfilling defectfilling defectfil
11、ling defectnichenichenichebarium meal examination show a huge malignant niche (*), located inside the outline of stomach. *diverticuladestroyed、flatting mucosal folddestroyed、flatting mucosal fold, barium spotdestroyed、flatting mucosal fold,nichethickening、circuitous mucosal foldthickening、circuitou
12、s mucosal foldthickening、circuitous mucosal foldagminated mucosal foldduodenobulbar ulceragminated mucosal foldstricture of lumensstricture( )and dilatation( )strictureduodenal bulbdeform、 diminutionalteration of location and mobilitylesser gastric curvature compressed curvedDiseases M,3y, swallow a
13、 coinForeign body in the esophagusA smooth symmetric narrowing at the lower end of the oesophagus , present beak-likeA smooth symmetric narrowing at the lower end of the oesophagus , present beak-likeA smooth symmetric narrowing at the lower end of the oesophagus , present beak-likeslightly thickeni
14、ng and circuitous mucosal foldsesophageal varices（ early stage ）Diagram: collateral circulation in cirrhosisinferior venous plexus of esophagusvenae coronaria ventriculi splenic vein SMVrectal veinperiumbilicus veinparaumbilicus veinesophageal varices （ typical stage ）obviously thickening and circui
15、tous mucosal folds( ); presenting earthworm-like or bead-likeesophageal varices （ typical stage ）obviously thickening and circuitous mucosal folds ，presenting earthworm-like filling defectesophageal varices （ severe stage ）obviously thickening and circuitous mucosal folds ，presenting earthworm-like
16、or bead-like filling defect.esophageal varices （ severe stage ）obviously thickening and circuitous mucosal folds ，presenting earthworm-like or bead-like filling defectCarcinoma of the esophaguspolypoid formM, 43y，gradually dysphagia for 2mFilling defectcarcinoma of esophagus (Polypoid form)intraluminal filling defect，destroyed、interrupted mucosal folds ， stricture of lumens carcinoma of esophagus(Polypoid form)E
