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Radiology

Stomach and Duodenum

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Stomach and Duodenum
The first 25 slides, exactly as they appear. The full deck has 109 content slides.

What’s inside

6 sections · 109 slides

  1. 01

    Overview

    • Stomach and duodenum overview

    1 slide

  2. 02

    Imaging Methods

    How the upper GI tract is examined with barium, CT, MR, and US

    • Endoscopy and fluoroscopy roles
    • UGI techniques
    • CT of the stomach and duodenum

    3 slides

  3. 03

    Anatomy

    Layers of the gut wall and the divisions of the stomach and duodenum

    • The gut wall has four concentric layers
    • Gut wall layers in cross section
    • Stomach divisions
    • Duodenum: pylorus and bulb
    • Duodenum: second to fourth portions
    • Normal stomach and duodenum anatomy on a UGI series
    • Areae gastricae and rugae
    • Normal areae gastricae on double-contrast imaging
    • Peritoneal attachments
    • Normal wall thickness on CT

    10 slides

  4. 04

    Stomach

    H. pylori, mass lesions, thickened folds, and ulcers

    • Helicobacter pylori: the organism
    • How H. pylori survives stomach acid
    • 70%
    • H. pylori epidemiology and diagnosis
    • Gastric carcinoma overview
    • Gastric carcinoma growth patterns
    • Polypoid gastric carcinoma on a single-contrast UGI series
    • Scirrhous carcinoma of the stomach
    • Scirrhous carcinoma on single-contrast UGI
    • Scirrhous carcinoma on double-contrast UGI
    • Additional causes of a narrowed stomach
    • Gastric carcinoma spread
    • Early gastric cancer on barium
    • Gastric cancer on CT and MR
    • Scirrhous carcinoma on CT
    • Gastric carcinoma on MR
    • Gastric lymphoma overview
    • Gastric lymphoma patterns and UGI findings
    • Gastric lymphoma, multinodular form
    • Gastric lymphoma, infiltrating form
    • Differentiating gastric malignancies
    • Lymphoma versus carcinoma on CT
    • Gastric lymphoma with marked wall thickening on CT
    • GIST overview
    • GIST imaging features
    • Benign GI stromal tumor on a UGI series
    • Malignant GI stromal tumor on UGI and CT
    • Metastases to the stomach
    • Metastases to the stomach
    • Kaposi sarcoma of the stomach
    • Villous tumors of the stomach
    • Gastric polyps: appearances
    • Gastric polyp types
    • Causes of multiple gastric filling defects
    • Lipoma and ectopic pancreas
    • Bezoars and foreign bodies
    • Trichobezoar casting the stomach and duodenum
    • Reading a thickened gastric wall
    • Gastritis overview
    • Aphthous ulcers of erosive gastritis
    • Gastritis on CT
    • H. pylori gastritis
    • Erosive gastritis
    • Crohn gastritis and atrophic gastritis
    • Phlegmonous and emphysematous gastritis
    • Emphysematous gastritis on CT
    • Eosinophilic gastroenteritis and Ménétrier disease
    • Ménétrier disease on CT
    • Gastric varices
    • Gastric varices on CT
    • Neoplastic fold thickening
    • Gastric ulcer definition
    • Ulcer signs on double-contrast UGI
    • Peptic ulcer disease
    • Benign ulcer signs
    • Benign gastric ulcer on a UGI spot film
    • Benign ulcer on CT
    • Erosive gastroduodenitis on CT
    • Malignant ulcer signs
    • Malignant gastric ulcer: Carmen meniscus sign
    • Benign versus malignant gastric ulcer
    • Equivocal ulcers

    62 slides

  5. 05

    Duodenum

    Mass lesions, thickened folds, ulcers and diverticula, and narrowing

    • Duodenal tumors: benign versus malignant
    • Duodenal adenocarcinoma
    • Duodenal adenocarcinoma on CT
    • Duodenal metastases and lymphoma
    • Metastasis to the duodenum on CT
    • Duodenal adenoma and GIST
    • Duodenal GI stromal tumor on MR
    • Duodenal lipoma and lymphoid hyperplasia
    • Gastric mucosal prolapse and Brunner glands
    • Ectopic pancreas and extrinsic impressions
    • Valvulae conniventes
    • Duodenitis
    • Erosive duodenitis on CT
    • Other causes of thickened duodenal folds
    • Intramural duodenal hemorrhage
    • Duodenal hematoma on CT
    • Duodenal ulcers
    • Duodenal peptic ulcer on an upper GI series
    • Postbulbar ulcers and complications
    • Zollinger–Ellison syndrome
    • Duodenal diverticula
    • Duodenal diverticulum on CT
    • Intraluminal duodenal diverticulum
    • Intraluminal duodenal diverticulum on a UGI series
    • Annular pancreas
    • Annular pancreas on UGI and CT
    • Other causes of duodenal narrowing

    27 slides

  6. 06

    Upper Gastrointestinal Hemorrhage

    Causes and imaging strategy for bleeding above the ligament of Treitz

    • Upper GI hemorrhage: definition and causes
    • Imaging strategy in upper GI hemorrhage
    • Key takeaways
    • References
    • References
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    6 slides