Has anyone with an ileostomy ever had a small bowel follow through?

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esoR
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Date Joined Jan 2007
Total Posts : 4147
   Posted 6/5/2010 11:18 AM (GMT -6)   
Hi I've had 2 food obstructions on mashed potato and one on high fat cottage cheese and potato chips. I cleared both on my own with hot tea.

I naturally got concerned, called my surgeon, and he did agree I needed imaging to check for a narrowing. He suggested upper GI series and small bowel follow through. Made sense to me. However, then I did some research.

(The way I became an ileostomate was through a severe injury of rectum and colon for what turned out to be unneeded surgery for a benign condition started with mis-read of scan and so on, so I've learned a TON of anatomy and about tests etc. Had to get the ileostomy to save my life.)

One of the professional books I now own is Imaging of the Small Bowel written by some top radiologists.

I looked up small bowel follow through when done on ileostomates. APPARENTLY when the contrast reaches the end of the small intestine (the ileostomy stoma) they but a BALLOON inside the stoma to stop the contrast from coming out then they let the air out of the balloon and let the contrast spew out when they are done taking pictures. A WHOLE LOT can go wrong inflating a balloon inside a stoma, especially an ileostomy stoma as they are so small.

I will call the radiology dept and ask to speak to a radiology doc who does these tests and verify that the info I have is true. If it is, I may skip this and ask if there are MRI, CT scans or other ways to check for possible narrowing. OR I will just stay away from dense foods like potato, as all else passes just fine.

SO, That is why I'm asking? Have any other ostomates had a small bowel follow through and if so, is this balloon deal real? THanks, ROsemary

Chasblah
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Date Joined Feb 2007
Total Posts : 788
   Posted 6/5/2010 5:29 PM (GMT -6)   
I've had 2 small bowel follow throughs with my ileostomy. I've never heard of them doing it the way you are describing.
In neither one they did a balloon at the end. It just emptied into my bag.
It was really no bid deal. The worst part is drinking the barium. bleck.
I hope that info isn't right (for your sake).
Chassity
28 yrs. old. married with one beautiful daughter (born 11/20/07)
-diagnosed with severe pancolitis u/c 2002 had total colectomy 12/19/08; emergency surgery due to abscess-had to redo ileostomy and switch to left side 12/25/08; 2/15/09 found blood clot in superior mesenteric vein (prob. from inf. and surgery inflammation)
i only take vitamins now, when I WANT to. :)
(temporary ileostomy....maybe)

"Things turn out the best for those who make the best of the way things turn out."


flchurchlady
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Date Joined Jul 2007
Total Posts : 2765
   Posted 6/5/2010 7:13 PM (GMT -6)   
I've had one small bowel follow through test since I became an ileostomate, and there was no balloon involved. I just drank the barium, had x-rays taken, and the stuff came out into the pouch. It was no big deal (except for drinking the icky barium).
Dx'd Crohn's in '99 at age 28. Proctocolectomy and permanent ileostomy in '06.
Disease-free and medicine-free since surgery and very thankful to be healthy again.


esoR
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Date Joined Jan 2007
Total Posts : 4147
   Posted 6/5/2010 8:10 PM (GMT -6)   
Chastity and First church lady,

THANK YOU SO MUCH! I will ask my surgeon on Monday, then also speak with the radiology doc (luckily the docs I have now all work together and communication amongst everyone is viewed as totally good), so hopefully my follow-through will be just like yours. I have a barium allergy, but they could I'm sure have me drink something else.

So in addition to no balloon in behind the stoma, you also had no issue with the barium hardening in the small intestine?

I didn't think that would be an issue as everything stays pretty liquidy there anyway, but that was my other question for those of you who take this test with barium. Glad it was no issue for the two of you. Thanks so much.

Sincerely, Rosemary

P.S. Seems real odd that a current radiology text book would print something so untrue, but that is why I will ask the docs as I am not one. But this book actually said it...very odd indeed. Thanks so much for your feedback, now I feel more like maybe I could have this test and hopefully rule out this concern. Yeah!

Post Edited (esoR) : 6/5/2010 8:13:31 PM (GMT-6)


Chasblah
Veteran Member


Date Joined Feb 2007
Total Posts : 788
   Posted 6/7/2010 1:23 PM (GMT -6)   
the barium did not harden in my intestines at all!
in fact. they had to do some quick pics b/c it goes through so fast.
Chassity
28 yrs. old. married with one beautiful daughter (born 11/20/07)
-diagnosed with severe pancolitis u/c 2002 had total colectomy 12/19/08; emergency surgery due to abscess-had to redo ileostomy and switch to left side 12/25/08; 2/15/09 found blood clot in superior mesenteric vein (prob. from inf. and surgery inflammation)
i only take vitamins now, when I WANT to. :)
(temporary ileostomy....maybe)

"Things turn out the best for those who make the best of the way things turn out."


esoR
Veteran Member


Date Joined Jan 2007
Total Posts : 4147
   Posted 6/7/2010 4:06 PM (GMT -6)   
Oh, even better news. Thanks Chassity. Rosemary

cleo35
Regular Member


Date Joined Feb 2007
Total Posts : 430
   Posted 6/8/2010 2:19 PM (GMT -6)   
My experience was just like Chasblah's.

esoR
Veteran Member


Date Joined Jan 2007
Total Posts : 4147
   Posted 6/8/2010 2:29 PM (GMT -6)   
Great, Thanks, RJ
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