Barium enema - a medical x-ray of the colon. Today it is the safest method, which reveals a number of diseases: cancer, intestinal polyps, ulcerative colitis, Crohn's disease, diverticulitis, and others.
Make bowel barium enema for diagnosis, doctors recommend that patients with these symptoms:
- bleeding from the anus;
- pain or discomfort in the anus;
- persistent constipation or diarrhea;
- pus or mucus from the anus;
- ulcerative colitis;
- Crohn's disease;
- suspected tumors in the intestine;
- Disturbances of the intestine.
Also make irrigoscopy need and where there is no possibility to carry out a colonoscopy (colon cancer diagnosis using colonoscopy), or if the results do not give a complete picture.
It is strongly advised to make a bowel barium enema in patients with suspected they had cancer, because it is the most accurate study to identify tumors that grow in the intestinal lumen.
Make irrigoscopy bowel when doctors ordered:
- rapid ulcerative colitis;
- megacolon toxic nature;
- tachycardia and other diseases that can significantly worsen the condition of the patient.
Preparation for barium enema
The accuracy of the results of the study largely affect the correct preparation for barium enema, which implies compliance with a special diet and pre-cleaning procedures for conducting bowel.
1. Diet - the first stage of preparation for barium enema.
For two or three days prior to the procedure the patient from their diet excludes all slag products, as they can cause flatulence. Also, do not eat fresh vegetables (cabbage, carrots, beets, beans), fresh herbs, some cereals (oats, millet, barley), fruits (oranges, apples, bananas, peaches, apricots), dark bread made from flour. Broth should not be much richness, and prepare all the dishes recommended for a couple (or cooking). Dinner on the eve of the bowel barium enema should be easy, dinner and breakfast excluded altogether.
2. Colon Cleansing - the second stage of preparation for barium enema.
With irrigoskopii possible to obtain very accurate results of inspection with the proviso that the human intestine is completely cleared from the feces so diet alone is not enough, by means of special laxatives or enemas colon must be cleansed. Cleansing enemas do in the evening and morning. In the intestines lead about a liter of water at a time and repeat the enema until it is time, until the washings are clean without impurity content of stool.
Enema to cleanse the bowel can be replaced laxatives such as Fleet, Dufalac or Fortrans. They are taken in accordance with the instructions, starting the night before the procedure and ending the morning of the examination.
Carrying out the procedure using the device for the barium enema
Carrying barium enema takes about 15 to 45 minutes, the procedure is virtually painless.
Barium sulfate - contrast agent - is mixed with water (400 g of material 1, 5 - 2 liters), the mixture was warmed to 35 degrees. Enter contrast to the patient with the help of special devices for barium enema, which is called the apparatus Bobrova (it is used for intestinal cleaning).
This device consists of a barium enema cans of 1 or 2 liters with a sealed lid and two tubes connected to it. At one end is a rubber bulb, which supplies air to the bank, and on the other end fits disposable system for barium enema, therethrough contrast agent is introduced into the intestine.
Contrast is poured into a jar and then use pear doctor injects air into it, under the influence of which the lid is pressurized, propelling barium suspension of the tube, gradually filling the intestine.
The study itself is as follows: under X-ray control colon gradually fill the suspension and produce sights and review images of all its departments in the different positions of the patient (lying on your back, on your side, on your stomach). Then make two image review: 1 - after complete distribution of barium, it allows to estimate the diameter of the lumen, the shape and location of colon; 2 - after removal of the tube and bowel movement to examine relief mucosa and to determine the functional activity of the body.
And the last stage perform double contrast technique. And if the previous procedure, you can use an ordinary enema, then the device is performed only for barium enema. For this unit dosed colon filled with air. Mucous is still covered with a thin layer of contrast, the air spreading folds, allowing more detail the structure of the wall. This double contrast method - determining the diagnosis of ulcers, polyps and cancer processes in the colon.
Complications bowel barium enema
When done properly, procedures including contraindications, serious complications in the patient arises. Within 3 days maybe lightening stool by barium and constipation, then the patient should take an enema or laxative.
In rare cases, a barium embolism (ie, the formation of barium granulomas), perforation of the bowel wall, and even more rarely - zatёki contrast in the retroperitoneal space or into the abdominal cavity.