Radiologic examination, gastrointestinal tract, upper; with or without delayed images, with KUB
CPT4 code
Name of the Procedure:
Radiologic Examination of the Gastrointestinal Tract, Upper; With or Without Delayed Images, with KUB (Kidneys, Ureters, Bladder)
Summary
This procedure involves taking X-ray images of the upper gastrointestinal (GI) tract, which includes the esophagus, stomach, and the first part of the small intestine. The images help to diagnose conditions affecting these areas. It may include delayed images and also examines the kidneys, ureters, and bladder (KUB).
Purpose
The procedure is used to identify abnormalities in the upper GI tract such as ulcers, tumors, blockages, and inflammation. The goal is to obtain detailed images that allow for accurate diagnosis and appropriate treatment planning.
Indications
- Persistent upper abdominal pain
- Difficulty swallowing or painful swallowing
- Unexplained weight loss
- Gastrointestinal bleeding
- Chronic nausea and vomiting
- Suspected ulcers or tumors
Preparation
- Patients may need to fast for 8-12 hours before the procedure.
- Specific instructions will be provided regarding the discontinuation of certain medications.
- A preliminary assessment including medical history and possible blood tests will be conducted.
Procedure Description
- The patient drinks a contrast material (barium) that coats the lining of the upper GI tract, making it visible on X-rays.
- The patient is positioned on an X-ray table, and multiple images are taken from different angles.
- Additional delayed images may be taken to observe the movement of the barium through the GI tract.
- A KUB X-ray may be taken to examine the kidneys, ureters, and bladder.
- The procedure is non-invasive and does not typically require anesthesia or sedation.
Duration
The procedure typically takes about 30-60 minutes, but it may be longer if delayed images are needed.
Setting
The procedure is usually performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologist
- Radiologic technologist
- Possibly a nurse for patient preparation and assistance
Risks and Complications
- Mild side effects from the barium, such as constipation.
- Rare allergic reaction to the contrast material.
- Very low radiation exposure risk.
- Potential for aspiration of barium in patients with swallowing difficulties.
Benefits
- Non-invasive and relatively quick.
- Provides comprehensive images for accurate diagnosis.
- Helps in planning appropriate treatment strategies.
Recovery
- Patients can generally resume normal activities immediately after the procedure.
- Drink plenty of fluids to help flush out the barium.
- Minor side effects like bloating or mild constipation may occur.
- Follow-up appointments may be scheduled to discuss results and any further steps.
Alternatives
- Endoscopy: A direct visual examination using a camera on a flexible tube.
- CT or MRI scans: Can be used to provide detailed images without using barium.
- Benefits and drawbacks of each alternative will vary based on the patient's specific condition and medical history.
Patient Experience
- Patients may experience a chalky taste from the barium.
- The procedure is generally painless, though the positioning on the table may cause minor discomfort.
- Post-procedural bloating or constipation can be managed with fluids and, if needed, mild laxatives.
- Healthcare providers will offer comfort measures and pain management as necessary.