ntroduction
A barium enema is an X-ray exam that can detect changes or abnormalities in the large intestine (colon). The barium is introduce retrogradely thru the anus. Indication
Change in bowel habit
Abdominal mass
Abdominal pain
Melaena
Diverticulum
Obstruction
Intussusception
Volvulus
Colitis Contraindication
Incomplete bowel preparation
Recent Barium Meal
Complete Obstruction
Possible perforation of viscus
Rectum biopsy
Equipment
1. Enema container and tubing
2. Drip stand 100cm 6. Clip/Forecep
3. Incontinence sheet 7. Bedpan
4. Lubricating Jelly
5. Fluoroscopic room Contrast Media
600ml barium sulphate suspension
Polibar 125% w/v
Air
Patient Preparations
1. Bowel Preparation : a) 3days before the exam take low residue diet. b) 1 day before exam take fluid only with Picolax at 8am & 6pm c) On examination day empty the bowel and procedure after 1 hour of emptying bowel.
2. Take Laxative(ducolax) on each preceding 2 nights.
3. Nil Orally prior to the examination . Do not smoke 4-6 hours before examination
Technique
1. Patient lie on one side of the incontinence sheet then catheter is inserted into the rectum.
2. Injection of Buscopan or Glucogan is given to relax the muscle.
3. Infusion of barium begins. Intermittent screening is taken to check the progress .
4. Air is pumped in to force the barium to move and give double contrast effect.
Aftercare
Patient should be warned that bowel motion will be white for a few days.
Patient is advice to continue taking laxatives intake & increase water intake to avoid barium impaction
Patient is advice to stay in the department until blurring of vision is resolved
