How is the bowel barium enema

Most of the diseases associated with Proctologicin that the pathological changes occur in the large intestine. But as the doctor-proctologist I understand what kind of problem occurred in the intestine? To clarify the picture of a patient is sent for examination, called barium enema. What are the methods? Do I need to prepare for the procedure? Answers to these and other questions you will get in this article.

Understanding irrigoscopy

gastroenterology, barium enema bowel, intestines, intestinal diseases, inspection, proctology

The survey is carried out usingX-rays, with more radiopaque substance is used. The method allows to consider an area that allegedly exposed to the disease. During the procedure, the doctor has the opportunity to take some pictures. But early in the procedure the patient is administered a anus of barium sulfate (which opacification) or barium combined with air (this is the double contrast). The length of the colon in humans of from 1.2 to 1.5 m, it consists of several departments that perform their function. The method will show the state of the descending, ascending departments, rectum, individual sections of the small intestine and appendectomy (Blind process). ability to stretch the intestinal wall will be determined. If there is a disruption of the ileocecal valve (it is located between the ileum and colon), it will also be revealed. It is possible to obtain data on the mucous membrane and activities of different intestinal segments. Irrigoscopy allows you to specify the diagnosis, and the patient does not spend a lot of money and time. The motor activity of the intestinal apparatus will also be studied, and this is especially important if the patient's problem with a chair.

As shown barium enema?

gastroenterology, barium enema bowel, intestines, intestinal diseases, inspection, proctology

bowel enema can be carried out onlyin the health centers and clinics, where there is special equipment. The device, which allows to carry out the procedure, called the apparatus Bobrova. First, the medical staff joins the contrast medium with ordinary water, while respecting certain proportion. After the solution was warmed to 35 degrees. He patient will be administered rectally (anus) via Bobrow apparatus. The heated composition is poured into a special container of this device, it is covered with a lid to which are connected two ducts. At the end of one of them has a rubber bag, necessary to inject air into the container. On the other end of the tube there is a removable tip (it can be of different sizes). This device allows to enter and barium into the intestine. To make sure that the intestines are no feces first patient X-rays will be taken. And only then it will be introduced a solution containing radiopaque substance. The volume may be from 1.5 to 2 liters. Photographs will be made somewhat (they are called overviews and sights), they are held at different angles, so the patient will be asked to lie on your stomach, back, sideways. At the final stage of the whole picture of the gut will be made completely filled with barium compound. It will analyze the shape of the body and to know the distance of the lumen. The final picture will be taken after the patient to empty the bowel. If the intestinal wall is necessary to consider in more detail (if you suspect the presence of ulcers, polyps, cancers), the patient is doing double contrast. For this purpose, a device that allows metered flow of feed air into the intestine to stretch all the folds in the intestine.

The duration of such a survey in somepatients was 10 minutes, while others - 30-40 minutes. Examination of patients suffer quietly, noting only that when they poured into the intestine barium composition, they feel the urge to defecate, small cramps and heaviness in the abdomen.

After the examination, the doctors certainly advisethe patient in the next few days to take more fluids to quickly barium actually hatched part of the intestine. Arriving home, just to eat. Older patients, it is desirable in the first day to stay in bed. If you have difficulty with bowel movements can resort to easy laxatives.


gastroenterology, barium enema bowel, intestines, intestinal diseases, inspection, proctology

In a healthy gut doctor sees that he inflatedevenly and clearly there is a physiologically protrusions. Once the intestine is emptied, it becomes a normal state, and the mucosa is feathery appearance.

When inflammation (colitis, diverticulosis) doctor will determine the place of their location and the vastness of the land.

When tumors (sarcoma, adenocarcinoma), theseformation are similar to the picture on the stub of an apple, they narrow the lumen of the intestinal system, while the intestine is filled with barium abnormal way. However, 100% but confirm the presence of tumor irrigoscopy still can not. To confirm the diagnosis is required to carry out a biopsy, endoscopy.

Contraindications irrigoscopy

gastroenterology, barium enema bowel, intestines, intestinal diseases, inspection, proctology

The doctor can not give the appointment to this X-ray examination, if the patient has the following diseases and symptoms:

  • acute diarrhea, with the presence of the blood of impurities;
  • if there is a risk of bowel perforation;
  • megacolon (defect in which the large intestine is increased);
  • rapid ulcerative colitis;
  • tachycardia.

The procedure is not carried out to pregnant women. There are doctors who believe that it is better not to carry out a survey nulliparous women.

There are relative contraindications:

  1. The acute form of violation of the blood supply to the intestine.
  2. The probability of the presence in the intestine of cystic pneumatosis.
  3. Acute processes within the colon.

Do not worry if the first three days after suchSurvey in your stool, you will see a whitish impurities - it goes radiopaque substance. symptoms may occur in rare cases, which need to be alerted:

  • stomach ache;
  • bleeding from the anus;
  • vomiting, nausea;
  • dizzinessWeakness;
  • temperature increase.

Seeing these signs of ill health, do not hesitate to immediately contact a doctor.

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