Colostomy Studies
Barium Enema (Single Contrast) Via Colostomy

This is a difficult examination, so all patients should be given a hypotonic agent (1.0 mg Glucagon or 20 mg Buscopan).  A double contrast study is ideal method of investigation.
  • Polibar Plus (105% w/v) barium diluted to about 45% w/v is used.
     
  • A large 18F Foley catheter, with the balloon inflated to secure a seal, is used.
     
  • Air is insufflated after barium has reached cecum.


Technique

Spot views:

  • Hepatic flexure
     
  • Splenic flexure
     
  • Cecum
     
  • Colostomy opening
     

Radiographs:

Left lateral decubitus
Supine
Right lateral decubitus