PMID: 11317697Apr 25, 2001Paper

Air insufflation: a useful adjunct to the single contrast barium enema for the evaluation of the rectum

International Journal of Colorectal Disease
V H LowD H Sheafor

Abstract

We examined whether insufflation of a small volume of air after a single-contrast barium enema would improve evaluation of the rectum. Eighty patients presenting for barium enema by single-contrast technique underwent examination of the colon including spot films with fluoroscopy and palpation during introduction of the barium and filled overhead views, using standard apparatus and technique. The examination was completed by draining barium from the rectum only, following which air in the barium enema bag was squeezed back into the rectum and three views of the rectum obtained (lateral, left posterior oblique, and frontal). Two reviewers then chose the best image of the rectum from each study with relevance to luminal distention and visibility of surface detail of the rectum. Following air insufflation, improved surface detail visualization was recognized by both reviewers in 69 (86%) patients and by one reviewer in 10 (12%) patients, a statistically significant observation (P < 0.0001). There was a trend towards improved rectal distention, recognized by both reviewers in 37 (46%) patients and by one reviewer in 18 cases (22%). In 25 (31%) patients neither reviewer recognized any improvement in rectal distention. Rectal abnorma...Continue Reading

Citations

Nov 27, 2008·World Journal of Gastroenterology : WJG·Sandeep NijhawanRamesh-Roop Rai
Oct 30, 2015·Environmental Monitoring and Assessment·Mousumi ChatterjeeRamananda Chakrabarti

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