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Congress: ECR25
Poster Number: C-11840
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-11840
Authorblock: F. Masino1, D. Saccente2, P. Marvulli2, S. Lofino2, M. Rella2, M. Balbino1, M. Montatore1, G. Guglielmi1, E. Muscogiuri1; 1Foggia (FG)/IT, 2Brindisi (BR)/IT
Disclosures:
Federica Masino: Nothing to disclose
Domenico Saccente: Nothing to disclose
Paolo Marvulli: Nothing to disclose
Stefano Lofino: Nothing to disclose
Marco Rella: Nothing to disclose
Marina Balbino: Nothing to disclose
Manuela Montatore: Nothing to disclose
Giuseppe Guglielmi: Nothing to disclose
Eluisa Muscogiuri: Nothing to disclose
Keywords: Contrast agents, Gastrointestinal tract, Stomach (incl. Oesophagus), Plain radiographic studies, Barium meal, Contrast agent-oral, Diagnostic procedure, Pathology
Learning objectives The purpose is to confirm the crucial role of barium upper gastrointestinal X-ray in evaluating patients with gastro-esophageal reflux and dysphagia, conditions that may reveal an underlying gastroptosis, which is a frequently underdiagnosed disorder.
Read more Background Visceroptosis, or Glenard’s disease, describes the downward displacement of abdominal organs from their normal anatomical positions. When this condition specifically affects the stomach, it is known as gastroptosis. Gastroptosis is a rare and often overlooked condition, characterized by the descent of the stomach into the pelvic cavity. This results in the greater curve of the stomach being positioned below the level of the iliac crest, while the antrum typically remains in its usual location [1].The condition is most commonly attributed...
Read more Findings and procedure details Imaging plays a pivotal role in the accurate diagnosis and management of gastroptosis. Among the various imaging modalities available, barium upper gastro-intestinal X-ray remains the gold standard for confirming the condition [3]. Alternative imaging techniques, such as CT scans, may fail to provide sufficient evidence and could underdiagnose gastroptosis [4].The upper gastrointestinal X-ray procedure involves taking images before and after the oral administration of a barium meal [5]. This contrast medium fills the ptotic stomach, clearly delineating its position and...
Read more Conclusion The findings of gastric emptying and gastric motility in an upper gastrointestinal study heavily rely on the radiologist's interpretation, as no universally established reference values exist for these parameters. Nevertheless, prolonged gastric emptying times are consistently observed when the stomach is positioned abnormally low. This highlights the importance of utilizing barium upper gastrointestinal X-rays for their superior ability to accurately identify gastroptosis and assess related motility disorders.Through detailed imaging, physicians can better understand the extent of the condition and tailor...
Read more References Sarangapani A, Rasane S, Kohli V, Chandy G. Glenard’s disease. Arch Med Health Sci. 2016;4(1):153. doi:10.4103/2321-4848.183372 Staszewska A, Jarzumbek A, Saran A, Gierak-Firszt S, Kwiecien J. Postprandial Abdominal Pain Caused by Gastroptosis—A Case Report. Children. 2023;10(1):116. doi:10.3390/children10010116 Xu LC, Garcia JC. Gastroptosis in a young woman. Gastrointest Endosc. 2024;99(3):454-455. doi:10.1016/j.gie.2023.10.006 Department of Paediatrics, Radboudumc Amalia Children’s Hospital, 6525 GA Nijmegen, The Netherlands, Van Welie AJM, Klein WM, Department of Radiology and Nuclear Medicine, Radboudumc Amalia Children’s Hospital, 6525 GA Nijmegen, The Netherlands, Th....
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