$Unique_ID{BRK00533} $Pretitle{} $Title{Curious About the Reliability of a Barium Enema} $Subject{enema barium colonoscopy cancer polyps cancers carcinoma neoplasm neoplasms Special Procedures procedure Laboratory Tests test Digestive cancerous tumors benign polyps inflammation pockets pouches diverticulosis colonoscopies colon} $Volume{P-12} $Log{ Discussion of Colonoscopy*0002801.scf The Colonoscope can View the Colon*0002802.scf Diverticulosis*0010001.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Curious About the Reliability of a Barium Enema ------------------------------------------------------------------------------ QUESTION: I am curious about the reliability of a barium enema in diagnosing intestinal disease. If all the stuff they put in you is a dye, how does that tell the doctors where disease may be present? What do they see on the x-rays that permits them to arrive at any conclusions? ------------------------------------------------------------------------------ ANSWER: Although frequently referred to as a "dye", the truth is barium is a substance that is not transparent to x-rays, and shows up as a white mass filling the large intestines. It provides a clear outline of the interior surfaces of the colon and rectum, and can reveal the presence of growths, such as cancerous tumors or benign polyps, and areas of inflammation, as well as the small pockets or pouches that signify diverticulosis. During the procedure, the barium is allowed to flow out, but some still remains clinging to the walls of the intestine to provide another view to the examining radiologist, and help in diagnosing any pathology present. The development of colonoscopy, in which a flexible telescope-like instrument is used to view the intestinal lining directly, has replaced the use of the barium enema in many instances. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.