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Virtual Pediatric Hospital: Paediapaedia: Enema for Reducing Meconium Ileus Paediapaedia: Gastrointestinal Procedure Descriptions

Enema for Reducing Meconium Ileus

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

Patient Preparation:

Hypertonic, water soluble - either Cysto-Conray or Gastrografin diluted 50%,

The patient needs to be well hydrated before and after the procedure, as the hyertonic contrast media used causes fluid to flow into the bowel lumen to facilitate the passage of meconium.

Tip - regular.
Tape tip in securely.
Take a spot film to start.
Patient prone, opacify entire colon with contrast and reflux the terminal ileum.

The enema may have to be repeated several times over several days to completely relieve the obstruction.

Views to Take:
AP overhead

See References Chapter.

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