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In order to simulate the upper gastrointestinal fluoroscopic examination, modifications were made to the Monte Carlo radiation-transport code that uses the anthropomorphic, mathematical reference phantoms ADAM and EVA. A set of discrete x-ray field projections of the principal anatomy of clinical interest has been previously defined. This note describes the new features incorporated in the simulations--divergent beams in oblique irradiation geometries, an esophagus and a duodenum, a double contrast medium consisting of a BaSO4-H2O mixture and air in the esophagus, stomach, and duodenum, and clinically representative beam qualities. The absorbed doses in tissues per unit entrance exposure (free-in-air) computed with the modified code appeared in Department of Health and Human Services Publication FDA 92-8282, Handbook of Selected Tissue Doses for the Upper Gastrointestinal Fluoroscopic Examination. A minor correction is described for the previously reported results for the esophagus.

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