Contrast Enema: Special Cases - Video Lesson

Hey, everybody. Welcome back. This lesson discusses special cases in regards to contrast enema's in fluoroscopy, injecting a colostomy. A colostomy is a surgical procedure in which the colon is brought to the skin surface through the abdominal wall, called a stoma. A stoma has no sphincter, and in most cases is covered by a special bag and dressing to contain feces. Reasons a patient may need a colostomy include resection of a tumor, diverticulitis, or ulcerative colitis. When performing a contrast enema on a patient with a colostomy protocol, review the exam with a radiologist or RA ahead of time. Special irrigation tips, adhesive discs, and catheters may be needed to hold the catheter in place during the exam. The radiologist or RA, or in some cases, the patient will insert the catheter into the stoma and administer the contrast.