au eit Tleal Conduitogram or Loopogram It is a radiographic examination of loop of bowel, ureters and the kidney. The loopogram is performed to diagnose the structural and the functional abnormalities of the ileal conduit and to ensure that the ileal conduit and its surrounding organs/ structures are functioning normally. If the patient has bladder cancer or malfunction bladder, the surgeon may remove the bladder (cystectomy) and both ureters is connected to the loop of small bowel (ileum) and the ileum is connected to an opening, at the abdomen, called stoma, The urine flows through the conduit (section of bowel) to the stoma and collected in an external pouch, called a stoma bag. This surgical procedure is called urinary diversion. 1 Indication- e To evaluate the function of the ileal conduit e Suspected stricture in the ureter e Suspected obstruction Contraindication- e Hypersensitivity to iodine e Suspected pregnancyEquipment- * Fluoroscopy unit with spot film device/ Image receptor ¢ Local anesthesia ¢ Foley’s catheter 14 French Contrast media lodinated water-soluble ionic/ nonionic e Extra stoma bag e Normal saline © Gauze © Sterile towel e Antiseptic solution e Normal saline Patient preparation- No special preparation is required for the examination. Procedure- 1. The examination is performed in the radiology department 2. On the day of examination describe the whole procedure to the patient. 3. Technologist should obtain consent from the patient for permission of procedure. 4. Ask the patient to remove clothing and wear a Hospital gown. . An intravenous line is inserted into the patient arm and sedative medication a is given through line to make patient relax. 6, Place the patient supine on the X-ray fluoroscopic table and the stoma bag is removed. 7. The stoma should be cleaned with antiseptic and the local anesthesia is applied on the stoma. Then the radiologist advances the Foley’s catheter into the stoma under the fluoroscopy guidance. The Foley’s catheter has a small balloon; it should be inflated by 5 ml water. This balloon keeps the catheter in the correct position into the stoma,8. After insertion of the Foley's catheter, a dilute contrast media through the catheter under the fluoroscopy guidance. The radiologist access the path of urinary diversion under the fluoroscopy. After filling, thecontrast media, the catheter is clamped with the artery forceps. : 9. Several radiographs are taken through the spot film device in multiple positions like AP, left posterior oblique for adequate evaluation of urinary diversion 10, After completion of the examination the Foley’s catheter is remoyed and the stoma is cleaned with antiseptic and new stoma bag is placed. Heal conduitogram