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Enteroclysis: The small bowel enema

How to succeed and how to fail


Enteroclysis, the infusion of contrast medium directly into the small bowel, is a precise, rapid method for thorough small bowel examination. This technique demonstrates far more pathology than any other method when it is properly executed. However, the examination is sure to fail with poor techniques, thereby discrediting a superb method. Experience has shown that failures are usually due to inadequate technique or poor judgment or both during the examination. This article covers the proper and improper techniques of the examination and gives examples of each. The most common problems that arise during the examination are discussed in the order in which they usually develop.

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  1. Pesquera GS: Method for direct visualization of lesions in the small intestines.Am J Roentgenol Radium Ther Nucl Med 22:254–257, 1929

    Google Scholar 

  2. Ghelew B, Mangis O.: Mise en evidence de l'intestin grele par une nouvelle technique radiologique.Nouv Presse Med 46:444–445, 1946

    Google Scholar 

  3. Gershon-Cohen J, Shay H: Barium enteroclysis; method for direct immediate examination of the small intestine by single and double contrast techniques.Am J Roentgenol Radium Ther Nucl Med 42:456–458, 1939

    Google Scholar 

  4. Schatzki R: Small intestinal enema.Am J Roentgenol Radium Ther Nucl Med 50:743–751, 1943

    Google Scholar 

  5. Urra MC: Exploration, radiologica del intestino delgado. Thesis University of Chile, Clinic of St. Vincent de Paul 1945

  6. Sellin JL:Radiological Atlas of Common Diseases of the Small Bowel. HE Stenfert Kroese BV, Leiden, 1976

    Google Scholar 

  7. Holstvoogd L: Het distale ileum en de regulatie van de passage — snelheid. Thesis University of Amsterdam, 1963

  8. Nice CM Jr: Roentgenographic pattern and motility in small bowel studies.Radiology 80:39–45, 1963

    PubMed  Google Scholar 

  9. Nice CM Jr: Controlled roentgen examination of the small bowel.Minn Med 57:281–284, 1974

    PubMed  Google Scholar 

  10. Miller RE: Faster flow enema equipment.Radiology 123:229–230, 1977

    PubMed  Google Scholar 

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Miller, R.E., Sellink, J.L. Enteroclysis: The small bowel enema. Gastrointest Radiol 4, 269–283 (1979).

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Key words

  • Small intestine, radiography
  • Enteroclysis, technique