Professional Documents
Culture Documents
Barium Enema
Methods :
1. Double contrast, the method of choice
to demonstrate mucosal pattern.
2. Single contrast, uses :
a. Children, since it is usually not necessary
to demonstrate mucosal pattern.
b. Reduction of an intussusception.
Indications :
1. Change in bowel habit.
2. Pain.
3. Mass.
4. Melaena.
5. Obstruction.
NB : If a tight stricture is demonstrated, only
run a small volume of barium proximally
the bariun may impact.
Contraindications :
Absolute :
1. Toxic megacolon.
2. Pseudomembranous colitis.
3. Rectal biopsy within the previous 3 days (it
is preferable to wait for 7 days).
Relative :
1. Incomplete bowel preparation.
2. Recent barium meal.
Contrast Medium :
Barium Sulfat (w/v. 500 ml for more, as
required).
Patient Preparation :
For 3 days prior to examination.
Low residue diet.
On the day prior to examination :
1. Fluids only.
2. Laxant (oral).
3. Dulcolax suppositoria.
ABNORMAL RADIOLOGIC
FINDINGS OF THE COLON
Inflammatory process :
Appendicitis / abcess.
Tuberculosis infection.
Amoeboma.
Crohns disease.
Carcinoid tumor.
Adeno Ca.
Lympoma Ma.
Metastastic process.
intussusception
Inchaemia.
Adhesive band.
Radiation injury.
Volvunus
Intussusception (Invaginasi).
Adhesions.
II. Inflamatory strictures.
III. Malignancy process.
IV. Fecal impaction :
Displacement, by :
Functional.
Neurogenic.
ASSESSEMENT IN
DIAGNOSTIK IMAGING OF
COLON
CONSTIPATION
Adult
Child
Rectal examination,
Proctosigmoidoscopy
Barium Enema
Negative
Barium Enema
Treat
Negative
Colonoscopy
CHRONIC DIARRHEA
Pancreatic or
small bowel
cause suspected
Barium Enema
to detect mass /
mucosal abnormality
Colonoscopy
Treat
ABDOMINAL PAIN
Acute abdomen
Non acute abdomen
Upper GI pain
Lower GI pain
Barium Enema
No radiographic
evidence of obstruction
Possible evidence of
bowel obstruction
Follow-up films
In several hours;
Clinical reassessment
Definite evidence of
bowel obstruction
Patient
critically ill
Probable small
bowel obstruction
Probable colon
obstruction
Explorative
Surgery
Upper GI Series;
Small Bowel Study
Barium Enema
Suspected
ABDOMINAL MASS
Assess history and physical examination
or previous imaging procedure(s)
Nonpregnant adult
Nonpulsatile mass
Pulsatile mass,
Possible aneurysm
Pregnant
patient
Infant or Child
Plain film
examination
Ultrasonography
Ultrasonography
Plain ABDOMINAL
X-RAYS
Unsatisfactory
examination
Aneurysm
demonstrated
Normal
Suspected Colon,
Distal Small Bowel
Obstruction
Barium Enema
Obstruction Strongly
Suspected Clinically
Suspected Gastric
Duodenal, Small
Bowel Obstruction
UGI Study
Mass satisfactorily
delineated
Treat