Cephalic angled views for detection of occult lesser curvature ulcers

A total of 10 gastric ulcers in the lesser curvature, which would probably have been overlooked, were readily seen by using cephalic tube angulation in upper gastrointestinal (GI) radiography. Routine use of angled radiography in patients with a high transverse stomach is recommended to visualize lesser curvature ulcers which, due to the high position of the stomach, are easily missed at fluoroscopy and are not visible on routine films.