Small bowel follow-through

Small bowel follow-through

A small bowel follow-through, also called small bowel series, is a radiologic examination of the small intestine from the distal duodenum/duodenojejunal junction to the ileocecal valve.

An X-ray examination of the most proximal small bowel (duodenum) is typically done together with an examination of the esophagus and stomach and is called an "upper GI series".

Procedure

*Person drinks radio-opaque contrast.
*X-ray images of abdominal are made.

Indications

Pathology of the small bowel is uncommon. Therefore, upper GI and lower GI endoscopy is often done prior to small bowel follow-through.

Categorically, the indications are:
* Negative upper endoscopy and negative lower endoscopy
* Investigation of a small bowel abnormality found on other medical imaging

pecific indications

* Suspected small bowel neoplasm, e.g. small bowel cancer
* Hematochezia
* Positive fecal occult blood test
* Suspected small bowel obstruction that has been managed conservatively
* Inflammatory bowel disease (Crohn's disease)

ee also

*Upper GI series

External links

* [http://www.med.umich.edu/1libr/tests/tests05.htm Small bowel follow through] - med.umich.edu
* [http://brighamrad.harvard.edu/Cases/bwh/hcache/212/full.html Images of a small bowel follow through] - harvard.edu


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