Defecogram PRINT
Defecograms performed at SMC and PAH only
I. Equipment (May vary between sites)
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. Documents patient history and pregnancy status prior to exam
ii. Fills rectum prior to imaging
iii. Assists the radiologist or fluoroscopy technologist during procedure
iv. 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
