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The normal radiographic landmarks of the gastric fundus are the macromucosal (rugal) pattern, the micromucosal (areae gastricae) pattern, and the esophageal rosette. In a comparison of 100 normal double-contrast and conventional barium examinations, the landmarks were most consistently and reliably demonstrated by double-contrast technique. In a group of 36 patients with various types of fundal pathology, double-contrast gastrography demonstrated distinctive changes in these landmarks and led to reliable diagnoses in the majority of patients. Double-contrast gastrography is considered the preferred method for examining patients with suspected abnormalities of the fundus or cardia.
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S. E. Rubesin, M. S. Levine, and I. Laufer Double-Contrast Upper Gastrointestinal Radiography: A Pattern Approach for Diseases of the Stomach Radiology, January 1, 2008; 246(1): 33 - 48. [Abstract] [Full Text] [PDF] |
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