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Barium follow through studies

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Barium follow through is the most widely used radiological investigation for malabsorption. After adequate bowel preparation - overnight fast, laxative - large films of the abdomen are taken half-hourly until the barium reaches the terminal ileum, at which, enhanced films are taken.

Abnormalities commonly detected include:

  • multiple strictures - Crohn's disease
  • extensive mucosal oedema and wall thickening - radiation enteritis
  • duodenal and jejunal diverticulae - small bowel contamination
  • coarse mucosal folds with contrast in fluid-filled loops of small bowel - coeliac disease

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