Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | About | FAQ | Reviews | Search

Virtual Pediatric Hospital: Paediapaedia: Double Contrast Barium Enema Paediapaedia: Gastrointestinal Procedure Descriptions

Double Contrast Barium Enema

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Patient Preparation:


Left lateral - digital exam and insert tip and inflate balloon with 2 puffs and fluoroscopy to check position
LAO when barium enters descending colon
Stop barium when it is in distal 1/3 of transverse colon
Tip up 30 degrees and drain and then tip back down
Prone and inflate until air is in the splenic flexure
Prone/RAO mid sigmoid
Roll patient towards you to RPO
Inflate until barium runs over hepatic flexure
Turn to left lateral and inflate more
Deep LPO - rectosigmoid
Mid-shallow LPO - sigmoid
RPO - proximal sigmoid to distal descending
Supine and inflate and then tip up 70 degrees
RPO - splenic flexure
AP - transverse colon
LPO - hepatic flexure
Prone and tip down to 30 degrees and drain
Left lateral - lateral rectum
Supine and tip down
Drain cecum if needed
AP or slight oblique - cecum
Overheads - bilateral decub, AP and PA recumbent, Butterfly
Take out tip

Views to Take:
Not applicable

See References Chapter.

Section Top | Title Page

Additional pediatric resources: | Facebook iconTwitter iconRSS icon |

Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon

About Us | FAQ | Reviews | Contact Us | Search

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright © 1992-2016 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.