HYPOTONIC BARIUM ENEMA EXAMINATION

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Abstract
Smooth muscle spasm accompanies a variety of colonic disorders, and during colonic examination may cause significant abdominal distress, as well as an incomplete or inconclusive study. Probanthine-aided examination of the colon is of value whenever smooth muscle spasm is encountered. This technique was used in 54 patients with inflammatory and functional bowel disease, whose initial barium enema examination was inconclusive or incomplete. Using this method in "problem" studies, it was possible to reduce patient discomfort, salvage unsatisfactory studies, and increase diagnostic accuracy in a broad spectrum of colonic disorders. The technique is consistently useful in diverticular disease of the sigmoid and is particularly applicable to the large number of patients with partial sigmoid obstruction secondary to diverticulosis with spasm.

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