Back to the list
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
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 extent of descent. In cases of gastroptosis, the X-ray reveals the stomach’s downward displacement, often extending to the level of the iliac crests. Additionally, delayed gastric emptying, a common finding associated with gastroptosis, is evident on the imaging study [6].

Fig 1: Upper gastro-intestinal X-ray using barium in upright position showed a stomach with a hypotonic parietal appearance and the greater curvature going beyond the iliac crests.

GALLERY