Contrast radiology of the small bowel

Abstract

The radiological examination of the small bowel should begin with plain radiography, erect and supine, of the abdomen. The usefulness of the plain films of the abdomen in the diagnosis of intestinal obstruction or perforation is well known. What is not so well established is the most suitable and most informative method for barium small bowel study. The various methods for small bowel examination are discussed and relevant details of techniques given, including the relative respective advantages and limitations. The purpose of this paper is to provide details of techniques and to compare the advantages and limitations of the various methods, and thereby conclude on which should be the method of choice. The radiological examination of the small bowel is considered inadequate in most hospitals, whereas the reflux examination of the small bowel has never become popular in England. On the other hand, it is concluded that the small bowel enema is the most accurate method for small bowel study.