Radiographic Examination of Normal Motility

  • Albertus D. Keet


In radiographic studies of the upper gastrointestinal tract, only the contrast material in the lumen is visible, the actual walls of the tract being invisible. The contrast material usually consists of one or more of the following:
  1. 1.

    Insoluble, non-absorbable barium sulphate in fluid suspension. Where such a suspension is used, it represents the luminal contents, and being radio-opaque, is visualized as an image of positive contrast. In the “conventional” radiographic study a low-density barium suspension is used with a specific gravity of 2.004 and a viscosity approximately four times that of water. The consistency approximates that of thick soup but may, if required, be increased to that of a paste. Commercial preparations contain additives regulating consistency and taste.

  2. 2.

    Water-soluble, absorbable iodine-containing solutions, also providing images of positive contrast, but with lower radio-opacity than barium.

  3. 3.

    Air, which may be swallowed or introduced via tubes, providing negative contrast.

  4. 4.

    Carbon dioxide gas, affording an intraluminal, negative contrast agent. The gas is liberated in the lumen by swallowed, commercially available gas-producing granules or powders.



Gastric Emptying Radiographic Examination Maximal Contraction Duodenal Bulb Peristaltic Wave 
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  1. 1.
    Brooks FP, Stevens LW, Pendergrass EP, et al. Experimental studies on the motility of the gastric mucosa in dogs. Amer J Roentg Rad Ther Nucl Med 1948, 59, 482–491.Google Scholar
  2. 2.
    Carlson HC, Code CF, Nelson RA. Motor action of the canine gastroduodenal junction: a cineradiographic, pressure and electric study. Amer J Dig Dis 1966, 11, 155–172.PubMedCrossRefGoogle Scholar
  3. 3.
    Code CF, Hightower NC, Morlock CG. Motility of the alimentary canal in man: review of recent studies, Amer J Med 1952, 13, 328–351.PubMedCrossRefGoogle Scholar
  4. 4.
    Code CF, Carlson HC. Motor activity of the stomach. In: Handbook of Physiology, Sect 6: Alimentary Canal, Vol 4: Motility. American Physiological Soc, Washington DC 1968, pp 1903–1906.Google Scholar
  5. 5.
    Cole LG. The living stomach and its motor phenomenon. Acta Rad 1928, 9, 533–545.CrossRefGoogle Scholar
  6. 6.
    Couturier D, Rozé C, Paolaggi J, et al. Electrical activity of the normal human stomach. Amer J Dig Dis 1972, 17, 969–976.PubMedCrossRefGoogle Scholar
  7. 7.
    Cunningham DJ. The varying form of the stomach in man and the anthropoid ape. Trans Roy Soc Edin 1906, 45, 9–47.Google Scholar
  8. 8.
    Deucher W. Reliefuntersuchung am Dünndarm. Schweiz med Wochenschr 1951, 49, 1194–1198.Google Scholar
  9. 9.
    Dozois R, Kelly KA, Code CF. Effect of distal antrectomy on gastric emptying of liquids and solids. Gastroenterology 1971, 61, 675–681.PubMedGoogle Scholar
  10. 10.
    Edwards DAW, Rowlands EN. Physiology of gastroduodenal junction. In: Handbook of Physiology, Sect 6: Alimentary Canal, Vol 4: Motility. American Physiological Society, Washington DC 1968, pp 1985–2000.Google Scholar
  11. 11.
    Ehrlein HJ. A new technique for simultaneous radiography and recording of gastrointestinal motility in unanaesthetized dogs. Lab Anim Sci 1980, 30, 879–884.PubMedGoogle Scholar
  12. 12.
    Ehrlein HJ, Keinke O, Schemann M. Studies on the process of gastric emptying. In: Gastrointestinal Motility, edit Roman C. MTP Press, Lancaster 1984, pp 111–118.Google Scholar
  13. 13.
    Ehrlein HJ, Akkermans LMA. Gastric emptying. In: Gastric and Gastroduodenal Motility, edit Akkermans LMA, Johnson AG, Read NW, Praeger Publishers, New York 1984, pp 74–84.Google Scholar
  14. 14.
    Forssell G. Über die Beziehung der Röntgenbilder des menschlichen Magens zu seinem anatomischen Bau. Fortschr Geb Röntgenstr 1913, Suppl 30, 1–265.Google Scholar
  15. 15.
    Forssell G. Studies of the mechanism of movement of the mucous membrane of the digestive tract. Amer J Roentg Rad Ther 1923, 10, 87–104.Google Scholar
  16. 16.
    Forssell G. The role of the autonomous movements of the gastrointestinal mucous membrane in digestion. Amer J Roentg Rad Ther 1939, 41, 145–165.Google Scholar
  17. 17.
    Foulk WT, Code CF, Morlock CG, et al. A study of the motility patterns and the basic rhythm in the duodenum and upper part of the jejunum in human beings. Gastroenterology 1954, 26, 601–611.PubMedGoogle Scholar
  18. 18.
    Friedman G, Wolf BS, Waye JD, et al. Correlation of cineradiographic and intraluminal pressure changes in the human duodenum: an analysis of the functional significance of monophasic waves. Gastroenterology 1965, 49, 37–49.Google Scholar
  19. 19.
    Funch-Jensen P. Basal upper gastrointestinal motility in healthy people. Scand J Gastroenterol 1987, 22 (Suppl 128), 52–61.CrossRefGoogle Scholar
  20. 20.
    Golden R. Antral gastritis and spasm. J Amer Med Assoc 1937, 109, 1497–1500.CrossRefGoogle Scholar
  21. 21.
    Granger DN, Barrowman JA, Kvietys PR. Clinical Gastrointestinal Physiology. WB Saunders Co, London 1985, pp 82–84.Google Scholar
  22. 22.
    Keet AD. The Diagnosis of Gastric Mucosal Prolapse. Thesis, University of Amsterdam 1952, p 63.Google Scholar
  23. 23.
    Keet AD. The prepyloric contractions in the normal stomach. Acta Rad 1957, 48, 413–424.CrossRefGoogle Scholar
  24. 24.
    Keet AD. Diameter of the pyloric aperture in relation to the contraction of the canalis egestorius. Acta Rad 1962, 57, 31–44.CrossRefGoogle Scholar
  25. 25.
    Keet AD. An anatomico-physiological principle governing the direction of the gastrointestinal mucosal folds during life. South Afr Med J 1914, 4, 441–448.Google Scholar
  26. 26.
    Keet AD, Vermaak JC, Mouton J. Intraluminal pressure profiles and mucosal movements in the stomach and duodenum. Amer J Gastroenterol 1978, 69, 144–148.Google Scholar
  27. 27.
    Keet AD, Heydenrych JJ. The anatomy and movements of the pyloric sphincteric cylinder. South Afr Med J 1982, 62, 15–18.Google Scholar
  28. 28.
    Kelly KA, Code CF. Canine gastric pacemaker. Amer J Physiol 1971, 220, 112–118.PubMedGoogle Scholar
  29. 29.
    Kelly KA. Motility of the stomach and gastroduodenal junction. In: Physiology of the Gastrointestinal Tract, edit Johnson LR. Raven Press, New York 1981, pp 393–410.Google Scholar
  30. 30.
    Keinke O, Ehrlein HJ. Effect of oleic acid on canine gastroduodenal motility, pyloric diameter and gastric emptying. Quart J Exper Physiol 1983, 68, 675–686.Google Scholar
  31. 31.
    Keinke O, Schemann M, Ehrlein HJ. Mechanical factors regulating gastric emptying of viscous nutrient meals in dogs. Quart J Exper Physiol 1984, 69, 781–795.Google Scholar
  32. 32.
    Koch KL, Stewart WR, Stern RM. Effect of barium meals on gastric electromechanical activity in man. Dig Dis Sci 1987, 32, 1217–1222.PubMedCrossRefGoogle Scholar
  33. 33.
    Kwong NK, Brown BH, Whittaker GE, et al. Electrical activity of the gastric antrum in man. Brit J Surg 1970, 57, 913–916.PubMedCrossRefGoogle Scholar
  34. 34.
    Lind JF, Duthie HL, Schlegel JF, et al. Motility of the gastric fundus. Amer J Physiol 1961, 201, 197–202.PubMedGoogle Scholar
  35. 35.
    Prove J, Ehrlein HJ. Motor function of gastric antrum and pylorus for evacuation of low and high viscosity meals in dogs. Gut 1982, 23, 150–156.PubMedCrossRefGoogle Scholar
  36. 36.
    Ruch TC, Patton HD. Motility of the gastrointestinal tract. In: Physiology and Biophysics, 20th ed, WB Saunders Co, London 1973, p 18.Google Scholar
  37. 37.
    Rhodes J, Goodall P, Apsimon HT. Mechanics of gastroduodenal emptying. Gut 1966, 7, 515–520.PubMedCrossRefGoogle Scholar
  38. 38.
    Shepard RS. Human Physiology JB Lippincott Co, Philadelphia 1971, p 417.Google Scholar
  39. 39.
    Sloan RD. The mucosal pattern of the mesenteric small intestine: an anatomic study. Amer J Roentg Rad Ther Nucl Med 1957, 77, 651–669.Google Scholar
  40. 40.
    Smith AWM, Code CF, Schlegel JF. Simultaneous cineradiographic and kymographic studies of human gastric antral motility. J Appl Physiol 1957, 11, 12–16.PubMedGoogle Scholar
  41. 41.
    Texter EC. Pressure and transit in the small intestine. Amer J Dig Dis 1968, 13, 443–454.PubMedCrossRefGoogle Scholar
  42. 42.
    Torgersen J. The muscular build and movements of the stomach and duodenal bulb. Acta Rad 1942, Suppl 45, 1–191.CrossRefGoogle Scholar
  43. 43.
    Vantrappen G, Hellemans J, Vanderbroucke J. A method for analysis of intestinal motility records. Amer J Dig Dis 1965, 10, 449–453.CrossRefGoogle Scholar
  44. 44.
    Weber J, Kohatsu S. Pacemaker localization and electrical conduction patterns in the canine stomach. Gastroenterology 1970, 59, 717–726.PubMedGoogle Scholar
  45. 45.
    Williams I. Closure of the pylorus. Brit J Rad 1962, 35, 653–670.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • Albertus D. Keet
    • 1
  1. 1.Welgemoed BellvilleSouth Africa

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