BARIUM ENEMA

                           Barium Enema

Difinition

Radiographic study of large bowel by administration of contrast medium through the rectum is called barium enema.

Indications

Large bowel obstruction

History of recent rectal

To check patency of distal loop

Colon cancer

Colorectal neoplasia

Contrast

The contrast is used is barium sulphate if other air

Risk Factors

Abdominal discomfort

Colonic obstruction

Perforation

Equipments

X ray unit

Barium sulphate

Foley’s catheter

Ascepto syringe

Dispo syringe 

Surgical gloves

Anaesthetic jelly 

Preparation

Low residue diet for 2 days

A tap water cleansing enema of 1500 ml on the morning of the barium enema examination.

The patient should passed the motion before examination.

Procedure

 The patient lies supine on the table and plain abdomen ap film is taken.

Then the patient lies on their left side with right leg flexed in Sims position.

Then clean the rectal area from betaden

Then the Foleys’s catheter lubricated with anaesthetic jelly is inserted into the rectum.

The insertion should not exceed 3 to 4 cm and then inflate the with sterile water.

Then the contrast is injected into the colon through the catheter.

Then the contrast reaches the rectum Left lateral view of rectum is taken

Left lateral view of the rectosigmoid junction.

Turn the patient to the LAO or left side position moves barium into the proximal sigmoid colon, descending colon, and splenic flexure.

Once the barium reaches the apex of the splenic flexure, turning the patient to the prone.

Position will move barium into the middle of the transverse colon

AP views of transverse colon.

The contrast should continue to flow until it reaches the caecum.

AP view of ascending colon are taken.

Filming

Plain Abdomen ap supine

Rectum : Left lateral view

Sigmoid : LPO and right lateral

Splenic Flexure : RPO View

Hepatic Flexure : LPO View

Caecum : AP and LPO View

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RADIATION   PHYSICS
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