ASGE Annual GI Advanced Practice Provider Course - Day Two (On-Demand) | April 2022-19_Abornmal Imaging in GI

19_Abornmal Imaging in GI - Shiels

Pdf Summary

In the document "Imaging in GI: Tests, Clinical Significance, and Impact on Management" by Dr. Aaron Shiels, various common GI imaging studies and their clinical significance are discussed. The document also provides examples of different imaging scenarios.<br /><br />The common GI imaging studies mentioned in the document include ultrasound, X-ray, CT scan, MRI, nuclear scans, and procedural imaging such as ERCP. Each imaging modality is highlighted for its specific use in evaluating different conditions. For example, ultrasound can be used to examine the gallbladder, liver, pancreas, and perform a mesenteric Doppler study. X-ray can be used for video swallow, esophagram, UGI series, small bowel follow-through, barium enema, and plain films. CT scan can be used for various purposes including evaluating chest, abdomen, and pelvis, triple phase liver CT, pancreatic protocol CT, CT enterography, CT colography, and CT angiography. MRI can be used for examining the liver, pancreas, and pelvis, as well as performing MRCP. Nuclear scans are useful for HIDA scan and bleeding scan.<br /><br />The document also presents different clinical scenarios where imaging plays a vital role in changing the management of patients. These scenarios include dysphagia, epigastric pain, right lower quadrant pain, jaundice, suspected bile leak, obscure GI bleeding, and liver lesions. Each scenario is associated with a specific imaging modality that can help diagnose or evaluate the condition. For example, video swallow and barium esophagram can aid in diagnosing dysphagia, abdominal CT can be used to evaluate complications of pancreatitis and gastric volvulus, abdominal ultrasound and MRCP can be used to assess jaundice, and abdominal CT and HIDA scan can aid in the diagnosis of suspected bile leaks.<br /><br />Overall, this document provides a concise summary of the different GI imaging studies and their clinical significance in various scenarios. It is a useful resource for understanding how imaging can impact the management of GI conditions.

Keywords

GI imaging studies

Ultrasound

X-ray

CT scan

MRI

Nuclear scans

Procedural imaging

ERCP

Dysphagia

Jaundice