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GASTROINTESTINAL RADIOLOGY Table of Contents   
Year : 1999  |  Volume : 9  |  Issue : 3  |  Page : 113-117
An improved small bowel meal technique using orally administered methylecellulose


Department of Radiology, Mercy Hospital, Cork, Ireland

Correspondence Address:
P K Moghe
Department of Radiology, Mercy Hospital, Cork
Ireland
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Source of Support: None, Conflict of Interest: None


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Objectives: To compare the diagnostic accuracy of conventional barium small bowel meal (BSBM) & methylcellulose mixed barium small bowel meal (MC-BSBM). Materials & Methods: One hundred patients were subjected to MC-BSBM and were compared to a control group of 30 patients who had conventional BSBM studies performed. The MC-BSBM technique involves replacing much of the barium given in the conventional BSBM study with methylcellulose (MC). The transit time, luminal distension, terminal ileal visualization and radiation exposures of the two techniques were compared. Results: Patients found both protocols equally acceptable. The mean transit time for the MC-BSBM group was slightly shorter, resulting in reduced numbers of films and thus radiation exposure. The quality of images was distinctly better in the MC-BSBM group due to optimal mucosal delineation, luminal distension and proper visualization of the deeper small intestine through overlapping bowel loops. Conclusion: The use of oral MC as an adjunct to the BSBM technique results in improved visualization and distension of small bowel loops, without any identified disadvantages.


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