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(Radiology. 2000;215:642-650.)
© RSNA, 2000

Special Review

Double-Contrast Barium Enema Examination Technique1

Stephen E. Rubesin, MD, Marc S. Levine, MD, Igor Laufer, MD and Hans Herlinger, MD

1 From the Department of Radiology, Hospital of the University of Pennsylvania, MRI, Bldg 1, 3400 Spruce St, Philadelphia, PA 19104. Received June 18, 1999; revision requested August 12; revision received August 27; accepted August 30. Address correspondence to S.E.R. (e-mail: rubesin@oasis .rad.upenn.edu).

Abstract

This review article presents the principles for performing a safe, comfortable, and accurate double-contrast barium enema examination. The procedure is a flexible examination in which the fluoroscopist interacts with the patient, the controls of the fluoroscope, and the image on the television monitor. During a double-contrast examination, images of the colon are created by manipulating the patient, the barium pool, and the amount of air insufflated into the rectum. Fluoroscopy is essential for guiding the radiologist to obtain spot images with adequate technical factors. The fluoroscopist analyzes the luminal contour, the barium-coated mucosal surface en face, and the barium pool to detect abnormalities in the colon. With careful technique, a high-quality examination can be performed in most patients.

Index terms: Barium enema examination, 75.1281, 75.1282 • Colon, radiography, 75.1281, 75.1282 • Review




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