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Initial treatment for sigmoid volvulus may occasionally occur via sigmoidoscopy or with a barium enema. [3] Due to the high risk of recurrence, a bowel resection within the next two days is generally recommended. [3] If the bowel is severely twisted or the blood supply is cut off, immediate surgery is required. [1]
Intussusception is an emergency requiring rapid treatment. [1] Treatment in children is typically by an enema with surgery used if this is not successful. [1] Dexamethasone may decrease the risk of another episode. [2] In adults, surgical removal of part of the bowel is more often required. [1] Intussusception occurs more commonly in children ...
In the late 1940s he developed a new treatment for intussusception, a pediatric condition in which part of the intestine folds into itself. His technique involved the use of a barium enema which could reduce intestinal pressure without the need for surgery.
As the enema enters the body, the individual might have the sensation that they need to have a bowel movement. The barium sulfate, a radiodense (shows as white on X-ray) contrast medium, flows through the rectum into the colon. A large balloon at the tip of the enema tube may be inflated to help keep the barium sulfate inside.
Ventral rectopexy is a surgical procedure for external rectal prolapse, internal rectal prolapse (rectal intussusception), and sometimes other conditions such as rectocele, obstructed defecation syndrome, or solitary rectal ulcer syndrome.
In upper gastrointestinal series examinations, the barium sulfate is mixed with water and swallowed orally, whereas in the lower gastrointestinal series (barium enema), the barium contrast agent is administered as an enema through a small tube inserted into the rectum. [2] Barium swallow X-ray examinations are used to study the pharynx [4] and ...
Perforation is more likely in the first weeks after starting treatment. [19] People who have had a surgical anastomosis (for example, after low anterior resection, stapled transanal rectal resection , ventral mesh rectopexy , or other types of surgery for rectal prolapse ) are more at risk of bowel perforation during transanal irrigation.
Barium enema radiograph showing multiple polyps (mostly pedunculated) and at least one large mass at the hepatic flexure coated with contrast in a patient with Peutz–Jeghers syndrome. Some suggestions for surveillance for cancer include the following: [citation needed] Small intestine with small bowel radiography every two years,