The coils of jejunum occupy the upper left part of the abdominal cavity, while the ileum tends to occupy the lower right part of the abdominal cavity and the pelvic cavity.
The mucosa is composed primarily of columnar epithelium with goblet cells. The absorbtion of nutrients takes place through the mucosa. The mucosa covers the intestinal villi and has an absorption area of 500 m2.
The submucosa is the strongest layer and provides strength to an intestinal anastomosis. It contains nerves, Meissner\u2019s plexus, blood vessels and fibrous and elastic tissue.
The primary functions of the small bowel are digestion and absorbtion. All ingested food and fluid and also secretions from the stomach, liver and pancreas, reach the small intestine. The total volume may reach 9 l. a day and all but 1-2 l. will be absorbed.
acute surgical disorders such as intestinal obstruction and perforations are of limited practical use in the investigation of chronic symptoms referable to the small intestine.
investigation designed to outline the small intestine.The small bowel is radiographed at periodic intervals and fluoroscopically spotted by the attending Radiologist. This type of SBFT can take hours to complete and detail of the lumen cannot be assessed as the loops of small intestine overlap as the barium progresses.
A better diagnostic tool would be an enteroclysis small bowel exam. "Entero" is Greek for intestine. "Clysis" is Greek for washing out. Thus, enteroclysis is washing out of the intestine.
With this in mind, an Enteroclysis study of the small bowel is a minimally invasive radiographic procedure of the small intestine, which requires the introduction of a catheter into the small intestine followed by the injection of barium and methylcellulose. The barium coats the intestine and the methylcellulose distends the lumen to give a double contrast. This allows visualization of the entire small bowel.
The enteroclysis study may be helpful in diagnosing almost all diseases that affect the small bowel. It may also be helpful in ruling out diseases in patients with unexplained abdominal complaints. There are several different indications for an enteroclysis study of the small bowel which include:
7. Adhesive bands
The Radiologist may not be able to determine a diagnosis of a disease by radiographic findings only. Some diseases cause very subtle changes on radiographs, so it is beneficial to obtain a complete medical history from the patient prior to the exam. When obtaining the patients information it is
recommended to obtain at least the following history:
1. Any abdominal pain, with location and length of symptoms
2. Diarrhea, or change in bowel movements
3. The presence of dark or tarry stools (indication bleeding)
4. Anemia (If possible get the most recent lab test results)
5. Any history of bowel obstructions
6. Weight loss or gain
7. Types and dates of abdominal surgeries
8. Types of previous test including endoscopes, lab tests, and other x-rays
There are two drawbacks to the enteroclysis small bowel follow through which need to be weighed carefully by the ordering physician and the radiologist. The disadvantages are:
1. The placement of the enteroclysis catheter is the largest disadvantage. It can be uncomfortable for the patient, even with the use of anesthetic spray and Xylocaine jelly or a similar lidocaine product.
This action might not be possible to undo. Are you sure you want to continue?