The small bowel enema (enteroclysis) is a fluorocopic (real time) xray of the small bowel. The study evaluates structural and functional features. It is invaluable for the investigation of recurrent small bowel obstruction, malabsorption, upper gastointestinal bleeding, inflammatory disease of the small bowel and neoplasia.

			Pre Examination
	The patient requires an appointment. It is important that the small bowel is empty so the patient will be nil by mouth for 6 hours before the examination. Female patients.  If your patient is or may be pregnant please delay the small bowel enema until after their menstrual period or following a negative pregnancy test.

			The Examination
	Usually takes between 45 and 60 minutes. A Radiologist  and Radiographer perform the examination A lubricated single use naso gastric tube is inserted using anaesthetic jelly and spray. The Radiologist uses fluoroscopy to observe as the tube enters the stomach and is moved through to the duodenum. The administration of Maxalon may assist this process. The Radiologist will take a series of images under fluoroscopic control as the barium passes through the small bowel. Some patients will have delayed images where there is delayed transit of the barium, or where limited evaluation of the colon is required.

			Post Examination
	The patient will see barium in bowel motions for a few days. The patient can eat & drink normally although you may advise them to increase water intake and fibre to reduce the chance of constipation. Images will be sent to the patient. A report will be sent to you.