74250 Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study

Name of the Procedure:

Radiologic Examination of the Small Intestine, including multiple serial images and scout abdominal radiographs; Single-Contrast (e.g., Barium) Study

Summary

A radiologic examination of the small intestine involves using X-ray technology to take a series of images of the small intestine. A contrast material, such as barium, is ingested to provide a clear view of the intestinal structures.

Purpose

This procedure is used to diagnose conditions or abnormalities in the small intestine. It helps identify issues such as blockages, tumors, inflammatory diseases, or other disorders affecting the small intestine.

Indications

• Persistent abdominal pain
• Unexplained gastrointestinal bleeding
• Chronic diarrhea
• Suspected small bowel obstruction
• Evaluation of inflammatory bowel disease
• Unexplained weight loss

Preparation

• Patients may be required to fast for several hours before the procedure.
• Instructions may be given to avoid certain medications.
• Preliminary blood tests or other diagnostic assessments might be conducted.

Procedure Description

1. The patient ingests a barium sulfate solution, which coats the lining of the small intestine.
2. Initial (scout) abdominal radiographs are taken before the ingestion of barium.
3. A series of X-ray images are taken at specific intervals as the barium moves through the small intestine.
4. The radiologist monitors the progress of barium and takes additional images as needed to obtain a comprehensive view.

Tools/Equipment:

• X-ray machine
• Barium sulfate solution

Anesthesia/Sedation:

• Not typically required

Duration

The procedure typically takes around 1 to 3 hours, depending on how fast the barium moves through the small intestine.

Setting

The procedure is performed in the radiology department of a hospital or an outpatient imaging center.

Personnel

• Radiologist
• Radiologic technologist
• Nursing staff (if needed)

Risks and Complications

• Mild abdominal discomfort or cramping
• Risk of constipation due to barium
• Rare allergic reactions to the contrast material
• Radiation exposure (minimized and controlled)

Benefits

• Accurate diagnosis of small intestine conditions
• Non-invasive and generally safe procedure
• Helps guide further treatment plans

Recovery

• Patients can normally resume regular activities immediately after the procedure.
• It is recommended to drink plenty of fluids to help expel the barium from the body.
• Follow-up appointments may be scheduled to discuss results.

Alternatives

• CT Enterography
• MRI Enterography
• Capsule endoscopy
• Pros: Some may offer more detailed images or different views of the intestines.
• Cons: May be more expensive or less available.

Patient Experience

• The patient might experience a chalky taste from the barium solution.
• Some mild bloating or cramping can occur.
• Generally, the procedure is well-tolerated with minimal discomfort.