Defecogram PRINT

Defecogram (printer friendly version)

Defecogram  (Advent Health Porter ONLY)

I. Equipment

a. 2 cups thin barium (1hr prior to exam)
b. 2 tubes Varibar pudding
c. Toomey syringe connected to enema tip
d. Radiolucent potty chair with plastic liner
e. KY jelly
f. Yard stick with lead numbers
g. Tape
h. Footstool
i. Tray table with towel (adjust height and place under patient’s feet for exam)
j. Stretcher (for administration of rectal contrast)
k. Markers (Rest, Lift, Stress)

II. Personnel

a. Radiologist/RA

i. Responsible for giving patient instructions and capturing images

b. Hospital Technologist

i. Calls patient 48 hours before exam to verify bowel prep instructions have been provided by ordering physician and instructs patient to arrive       1 hour prior to scheduled appointment for oral contrast administration.
ii. Verifies no biopsies taken within past 7 days
iii. Prints order and relevant notes for radiologist/RA review
iv. Documents patient history and pregnancy status prior to exam
v. Assists the radiologist/RA during procedure
vi. Responsible for overhead imaging
vii. Provides patient with aftercare instructions

III. Procedure

a. Scout KUB 1 hour prior to exam
b. Administer 2 cups of thin barium orally after scout
c. 45 minute delayed KUB
d. Begin defecogram once contrast is filling distal ileum
e. Fill rectum with up to 300mL’s of Varibar pudding (stop injecting when you feel resistance)
f. Patient to sit on radiolucent potty chair (holding in contrast)
g. Raise fluoro table for adequate imaging
h. Technologist should place tray table under patients’ feet and stabilize to prevent movement

IV. Required Images (fluoro loop store images)

a. Scout/ Rest (patient relaxed but gently holding in contrast)
b. Lift (have patient squeeze to hold in contrast)
c. Stress (have patient push while holding in contrast)
d. Go (evacuation)

V. Special Considerations

a. Radiologist to read: Dr. Hopper, Dr. Payne, Dr. Bartel, Dr. Wheeler