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Virtual Pediatric Hospital: Paediapaedia: Enema for Low Obstruction in a Neonate Paediapaedia: Gastrointestinal Procedure Descriptions

Enema for Low Obstruction in a Neonate

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

Patient Preparation:

Cysto-Conray. By using Cysto-Conray, you can make the enema both diagnostic and therapeutic simultaneously if a meconium ileus or meconium plug is encountered.

Tip - regular red rubber catheter.
Tape tip in securely.
Take an AP abdomen and laterial rectum spot films to start.
Use gravity to instill barium
Start contrast with patient in a lateral position. Turn the patient then to supine and to prone in order to opacify the entire colon with contrast and reflux the terminal ileum.

Views to Take:
Scout - AP abdomen and lateral rectum
AP abdomen once entire colon is opacified

See References Chapter.

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