UGI WITH SMALL BOWEL FOLLOW THROUGH
The examination evaluates the esophagus, stomach, small intestine and the first part of the large intestine. Pictures will be taken of these organs after the special contrast is ingested. These pictures are taken with children laying on their back and on their side. Imaging the entire small intestine requires ingesting contrast and taking pictures at 15-30 minute intervals until it reaches the large intestine.
The stomach should be empty for an optimal study and the child should not have anything to eat or drink for the following amount of time:
Infants (0-2 years of age): 3 hours
Children older than 2: 8 hours
Notify us of any known allergies to contrast immediately, as this requires additional preparation.
Your child should be dressed in comfortable clothes that can be easily removed; a gown may be required. Avoid wearing any jewelry and other metallic items in clothes that cover the neck, chest, abdomen and pelvis.
Please provide an empty bottle or cup that your child prefers to drink out of.
The patient may be fed following the exam; feel free to bring along a snack.
Day of the Exam
Please plan to arrive between 15-30 min prior to your scheduled appointment. Check-in and registration are completed at the front desk. The technologist will escort you to the room and discuss the study with you. Your child will then change into a gown.
Upon entering the room, you will notice an exam table with a machine on top that can move from side to side, as well as up and down. This part of the machine acquires the pictures and will be positioned over the part of the body being imaged. You may be present with your child in the room during the exam, but you must wear a lead shield for your own protection. The radiologist will be present to discuss the study and address any concerns with you.
Your child must lay flat on their back on the exam table. A lead shield may be initially placed under the lower part of the body that is not being imaged, as long as it does not interfere with the pictures. The top part of the fluoroscopy machine will be positioned over your child and multiple pictures will be taken in different positions as he/she drinks the special contrast (barium). (The contrast can be flavored as needed; please inform us of any food allergies).
Your child will be positioned from side to side in order to get pictures of the organs from different angles, and help move the contrast along. After pictures of the stomach and first part of the intestine are acquired, your child will continue to drink small amounts of contrast and pictures will be taken in 15-30 minute intervals. When the contrast has made its way into the large intestine, the radiologist will return. The Pediatric radiologist may use a device with a soft balloon on the end of a paddle to apply gentle pressure on the abdomen to move the intestine around and take additional pictures.
The Pediatric radiologist will discuss the exam findings with you, review select images, and address any questions. Thereafter, a report will be sent to your referring physician.
Please ensure that your child is properly hydrated throughout the day, as the contrast may cause constipation. The barium contrast may also cause discolored stool, do not be alarmed.