Understanding Enteroclysis

Small Bowel Enema

This diagnostic procedure is performed to examine the small intestines. It can identify lesions suspected from previous GI tests such as an upper GI series. It is the most thorough means of demonstrating that the small bowel is normal, if any abnormality is suspected. This test is especially useful for evaluating diseases such as crohn's disease, celiac sprue and other rare small bowel diseases.

How is the test done?

With the patient under sedation, Dr. Bhandari uses an endoscope to place the enteroclysis tube. This results in minimal discomfort for the patient. This tiny tube is passed through the mouth, down the esophagus and then through the stomach, until the tip of the tube reaches the duodenum. A small amount of radio-opaque contrast material is injected through this tube directly into the duodenum. The passage of the contrast material through the small intestine is monitored on a fluoroscope monitor. Pictures are taken in a variety of positions. The pictures in an enteroclysis study are displayed on the monitor in "real time" as the contrast moves through bowel structures.

What are the Risks?

The type of radiation exposure is similar to other X-ray procedures. However, the exposure to radiation may be more than for many other types of X-rays, simply because of the length of time needed for the fluoroscopic examination. Most experts feel that the risk is low compared with the benefits.

Barium can cause constipation. Consult the doctor's office if the barium has not passed through your system by 2 or 3 days after the exam

If you have any questions, please feel free to ask the doctor, GI nurse, or the technician.