Small bowel enema

Do any of our medical professionals know the details of a radiologic procedure called, "Small bowel enema"? I've seen the term talked about in Gastroenterology Journals, but am curious as to whether the barium is instilled from the rectum, or by mouth.

The medical term is enteroclysis.

A naso-gastric tube is placed and the tube is advanced through the stomach to the duodenum where barium is instilled.

This is NOT A FUN RECREATIONAL ENEMA ACTIVITY.

One more thing boys and girls, this is not something to try at home.

Sounds like no fun whatsoever. Not going to get my motor running.

I read about a radiologist who advocated studying the distal small bowel by infusing barium in a retrograde fashion through the ileocecal valve. This was done by a high pressure enema. It didn't catch on. Normally it's studied by oral barium as a small bowel follow through. Multiple shots are taken are taken over several hours as the barium moves distally.

Yup. The guy's name was Roscoe E. Miller and he called his technique the "complete reflux small bowel examination". Up to 4500ml of barium was used and after testing the procedure first on himself he noted that the ties on the exam gown should be left loose to allow for the "considerable abdominal distention" that results.

Relocating to evacuate would be dangerous with that much extra weight in the colon!

Relocating to evacuate would be dangerous with that much extra weight in the colon!

Lzrd,

I've given myself a few 4 quart enemas and I agree. Though it's very pleasurable to relax on the bathroom rug with my 4 q inside, sometimes it's a considerable struggle to get up and walk a few feet to my commode! Or even stand up to look at my distention in the mirror.

Eric

Obviously, this is not intended as any kind of "play". I was curious, because I experienced a CT scan with contrast after a colonoscopy showed a villous adenoma in my sigmoid. I came into radiology N.P.O. in the morning and was given 16 oz. cups of BaSO4 (strawberry flavored) every 45 min. After a few hours of this, I had a BM which was all barium. I was taken to a waiting room, given a blanket (me and another patient were shivering from the cold barium). I went into the CT machine and had an IV set up and the tech injected the plunger from another room. The CT then happened as usual.

Is this procedure something that has replaced the old BaE? Does it also show the small bowel, as well as the large?

Thanks

Enemas are erotic ONLY when I do them through my anus and further up into my rectum and colon. The procedure that Susie described sounds perfectly horrible and I hope I would never have to have it done to me.

It was interesting to learn something new. That's what I like about zity.

. . . . .Is this procedure something that has replaced the old BaE? Does it also show the small bowel, as well as the large?

This has not replaced the barium (or hypaque) enema. A regular barium swallow is still sone.

When material is swallowed, it shows whatever parts of the colon that contains it from top to bottom depending on when the radiographic images are made.

Barium or hypaque enemas are often used as part of a pre op work-up to test for leaks in the colon to check for complete healing of the colon after colostomies resulting from colon perforations prior to re-anastomosis surgery.

I accidentally came across this procedure and found that the entire small intestine was filled with barium all the way to the stomach by use of a barium enema through the rectum. This was used for x-rays of the entire small intestines. Obviously large quantities of liquid were used, over 4 liters. No mention of how the patient tolerated the procedure is mentioned, although it seems that there were no complications. I can take a little over a gallon of water and have rarely had any reflux into the small intestines. Please let me know if you have any information on this procedure. I don't think that it would be very pleasant.