General Revision on Gastrointestinal Tract
Written by: Hossam
Diagnostic Studies
Laboratory Tests
The complete blood cell count (CBC) reveals if anemia or
infection is present. Anemia may occur with GI bleeding or
cancer
Electrolyte imbalances often occur with GI illness as a result of
vomiting, diarrhea, malabsorption
Electrolyte imbalances often occur with GI illness as a result of
vomiting, diarrhea, malabsorption
Bilirubin is an excellent measure of liver and gallbladder
functioning
Certain enzymes such aminotransferase and lactic dehydrogenase
are released by damaged liver cells
Stool samples can be tested for Occult blood (blood not seen by
the naked eye)
Radiographic Tests
Flat Plate of the Abdomen
Definition: An x-ray examination giving an anterior-to-posterior
view
Upper GIT (Barium Swallow):
Definition: An x-ray examination of the esophagus, stomach,
duodenum using an oral liquid radiopaque contrast medium to
outline the contours of the organs
The patient receives nothing by mouth (NPO) for 6 to 8 hours
before the procedure
Lower GIT (Barium Enema):
♦ Definition: Is performed to visualize the position, movements, and
filling of the colon
Inadequate bowel preparation may result in poor test results or
test cancellation
If the patient has active inflammatory disease of the colon or
suspected perforation or obstruction, a barium enema is
contraindicated
Computed Tomography (CT):
Definition: A beam of radiation to allow three-dimensional
visualization of abdominal structures
The patient is NPO for 2 to 4 hours before the procedure
Angiography:
Definition: Is ordered for patients with symptoms of arterial
occlusive disease of the hepatic, biliary, and pancreatic arterial
vessels
Medications that might cause bleeding, such as aspirin or
anticoagulants are stopped about 1 week prior to the procedure
♦ The patient usually is NPO for 2 to 8 hours
Endoscopy:
Definition: Uses a tube and a fiberoptic system for observing the
inside of a hollow organ or cavity
Esophagogastroduodenoscopy: (Upper GIT)
Definition: Visualizes the esophagus, the stomach and the
duodenum
The patient is NPO for 8 to 12 hours before the procedure
The patient is placed on the left side
Patients are assessed for signs of perforation, which include
bleeding, fever
Colonoscopy: (Lower GIT)
Definition: Provides visualization of the lining of the large
intestine to identify abnormalities through a flexible endoscope,
which is inserted rectally
Ultrasonography:
Definition: The use of high-frequency sound waves through the
abdomen allows to view soft-tissue structures
Percutaneous Liver Biopsy:
Definition: Done to identify cancer, hepatitis or other causes of
liver disease
The physician generally inserts a needle through the skin and into
the liver to withdraw a small sample for examination
This procedure places the patient at risk for bleeding
The patient may be ordered nothing by mouth (NPO) for 6 to 8
hours before the procedure
The patient lies on the right side for the first 2 hours to provide
pressure and prevent bleeding