Barium Follow Through: Complete Guide
Introduction:
A Barium Follow Through (BFT) is a radiological test used to examine the small intestine (jejunum and ileum). In this study, the patient drinks a barium sulfate contrast, and X-ray images are taken as the barium passes through the small bowel. This helps detect structural and functional abnormalities.
Indications for Barium Follow Through
-
Suspected Crohn’s disease or other inflammatory bowel diseases
-
Chronic malabsorption or unexplained diarrhea
-
Suspected strictures or obstruction
-
Evaluation of tumors, fistulas, or adhesions
-
Post-surgical small bowel assessment
 |
| Barium Follow Through |
Preparation for the Procedure
-
Fasting: Usually 4–6 hours before the test
-
Bowel Prep: Laxatives may be given to clear the small intestine
-
Clothing: Comfortable gown, remove metallic objects
-
Hydration: Drink water after the procedure to help clear barium
Procedure Steps
-
Patient Positioning: The patient may lie supine or on the side during X-rays.
-
Contrast Administration: The patient drinks barium sulfate gradually.
-
Imaging:
-
Serial X-ray images are taken at intervals as barium moves through the small intestine
-
Real-time fluoroscopy may be used to observe motility and passage
-
-
Completion: Once barium reaches the large intestine, the study is finished
Post-Procedure Care
-
White-colored stool for 24–48 hours is normal due to barium
-
Mild cramping or bloating may occur
-
Drink plenty of fluids to prevent constipation
-
Report severe pain, vomiting, or inability to pass stool
Advantages of Barium Follow Through
-
Non-invasive and highly diagnostic
-
Detects strictures, obstructions, tumors, and inflammatory diseases
-
Helps in pre-surgical planning
Conclusion:
The Barium Follow Through is a valuable imaging test for evaluating the small intestine. With proper preparation, technique, and post-procedure care, it provides accurate diagnosis while keeping the procedure safe and comfortable for the patient.
No comments:
Post a Comment