Barium Meal Follow Through (BMFT).

Table of Contents

What Is Barium Meal Follow Through (BMFT).

The barium meal follow through ( BMFT ) is the radiological examination to help the study of small intestine ( jejunum to ileum) to injected of barium sulphate contrast media through orally.

Indication Of Barium Meal Follow Through (BMFT).

— Abdominal pain

— abdominal mass

— Intestinal tuberculosis

— Intestinal obstruction

— Intestinal polyps

— Inflammation

— Diarrhea

— Intestinal bleeding

— Carcinoma

— Weight loss

— Intestinal stricture

— Intestinal Perforation

— Diverticulum

— Malabsorption

Contraindications Of Barium Meal Follow Through (BMFT).

— Suspected perforation

— paralytic ileus

— Completely obstruction

— Recurrent abdominal surgery

Contrast media

50- 60% barium sulphate solution.

Equipment.

— Fluoroscopy unit

— Spot film device.

— Over couch x-ray tube.

Patient preparation Of Barium Meal Follow Through (BMFT).

— The patient must be NPO 5 – 6 hrs before the examination.

— The patient must be give the instructions to take low diet for one to two day before the examination.

— Laxative may be given to patient to remove the all feces material from the abdomen.

— The patient must be stop smoking or tobacco for prevent the proper coating of barium sulphate on the mucosal.

Procedure / Technique.

When the patient come in radiology department.

— To ask the patient to remove all the clothes and wear the hospital gown.

— To explain the whole Procedure before the patient.

— Take the consent from to patient or patient attender.

–The patient in supine position in fluoroscopy tilling table.

— The patient give the barium sulphate solution around 600- 700ml and ask to drink the solution.

— Then the patient turn turn in right side for about 10-15 min for stomach empty.

— After empty of stomach, The patient placed in prone to separate the bowel loops.

— The technologist observed the barium sulfate follow under the fluoroscopy in to jejunum and ileum.

— Than taken a spot film

— The technologist observed in fluoroscopy the follow up contrast in every 30 min to reach the contrast in ileum.

— Then placed the patient in right side and take spot film.

Filming.

— AP view:- Full abdomen.

— PA prone view:- For bowel pressure

— Oblique:- For separate bowel loops

— Erect:- For evaluation of fluid leveling diverticulum .

Aftercare.

– Ask the patient to take a maximum fluid.

– To inform the patient about feces will be white for some days.

– Gave the Dulcolax to remove the barium sulfate solution through the feces.

Complications.

— Leakage barium sulphate solution for perforation.

— Aspiration.

— It may caused appendicitis.

— Acute gastric dilatation.

— Barium impaction.