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Enteroclysis semi
 

Enteroclysis semi

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    Enteroclysis semi Enteroclysis semi Presentation Transcript

    • X RAY ENTEROCLYSIS
      Enteroclysis is an x-ray of the small intestine that looks at how a liquid called contrast moves through the area
    • INDICATION
      Mal absorption
      Small bowel obstruction
      Inflammation of the small bowel (such as Crohn's disease)
      Intestinal stricture
      Tumors of the small intestine
      Polyps
      Unexplained gastrointestinal bleeding
    • CONTRA INDICATION
      Pregnant women and children are more sensitive to the risks of x-ray radiation
      Allergies to contrast
    • ANATOMY
    • EQUIPMENT AND ACCESSORIES
      Fluoroscopy machine.
      NJ tube
      Methyl cellulose
    • GOAL OF THE STUDY
      Both "real time" pictures and still images are taken. Patient is asked to change positions during the exam. The test usually lasts several hours, since it may take a while for the contrast to move through the entire small bowel.
    • Patient preparation
      A clear liquid diet is suggested for at least 24 hours before the test. Laxatives may be prescribed to make sure the bowel is clear of any particles that might interfere with the study.
      Previous investigation reports
      Check for allergic reaction
      Well informed written consent. Enquire about glaucoma and heart disease
      Radio opaque materials should be removed from the region of interest
    • PROCEDURE
      This examination will be performed by Radiologist (a doctor specializing diagnosis using x-rays) with the help of a radiographer or nurse.
      The patient will be positioned on an examination table
      A local anesthetic spray is sprayed into your nose and/or throat to allow for a smooth and comfortable passage of a small soft plastic tube (NJ tube) through your nose and throat into your stomach, and then into your small bowel.
      For single contrast microbar suspension given. For double contrast methylcellulose is given
    • Cont..
      Barium liquid and a solution called methylcellulose (contrast medium) is then put down the tube and a series of x-rays are taken. This is watched on a television
      screen.
      You will be in a lying position at the start of the examination but during the test the x-ray machine will tilt slowly up and down. You may be asked to lie in various positions to have x-rays taken.
      Sometimes the barium is slow to pass into the small bowel and the procedure may take up to an hour. The placement of the tube may be uncomfortable. The contrast medium may cause a feeling of abdominal fullness.
    • Cont…
      During the examination you may be given an injection of muscle relaxant to help speed up the passage of the barium.
      The catheter is being held up at the pylorus.
      When this occurs, rolling the patient to the left will widen the bulb, allowing the catheter to advance into the duodenum.
      Additional x-rays may be made immediately after the procedure in order to obtain greater details of the area under examination. Often, additional x-rays are made after the barium has been excreted from the bowel, which is usually one or more days after the procedure.
    • complication
      The placement of the tube may be uncomfortable.
      The contrast material may cause a feeling of abdominal fullness.
      Rupture the loop as the tube pass through
    • films