Radiographic Positioning: Radiographic Positioning of a Barium Enema

FULL COLUMN

SUPPLIES: Enema bag mixed with room temperature water.

VIEWS:
K.U.B. (Scout)
RPO 45 degree
LPO 45 degree
Left Lateral Abdomen for Flexures
Left Lateral Abdomen for Rectum
PA
PA Sigmoid 30 degree Caudal Tube Angle, (or) due to patient condition
A.P. 30 degree Cephalic.
Post Evac

All films in 14 x 17 except rectum views 10 x 12.

All films taken on expiration.

Scout K.U.B.
1. Patient supine
2. Bucky
3. 40" SID
4. Center at iliac cres
5. Include Symphysis Pubis

RPO 45 degree
1. Patient recumbent, rotated 45 degrees with right side down.
2. Bucky
3. 40" SID
4. To demonstrate splenic flexure
5. Center iliac crest.

L.P.O. 45 degree
1. Patient recumbent, rotated 45 degrees with left side down.
2. Bucky
3. 40" SID
4. To demonstrate splenic flexure
5. Center iliac crest.

Left Lateral for Flexures
1. Patient recumbent in left lateral position.
2. Bucky
3. 40" SID
4. Center to include flexures.
5. Center at iliac crest.

Left Lateral Rectum
1. Patient recumbent in left lateral position.
2. Bucky
3. 40" SID
4. Center to include rectum
5. Deflate tip, midaxillary plane between ASIS and posterior sacrum

PA
1. Patient prone
2. Bucky
3. 40" SID
4. Center to include flexures as well as rectum.
5. Center at iliac crest

PA Sigmoid (Can be done A.P. due to patient condition)
1. 11 x 14 film
2. Patient prone or supine.
3. Bucky
4. 40" SID
5. Center to include sigmoid colon, PA exits ASIS, AP enters ASIS
6. Central Ray: PA 30 degree caudally, AP 30 degree cephalic

Post Evac
Position the same as the scout.

*110 KVP should be used on adults.
**90 KVP should be used on infants.
***Always check films with radiologist before allowing patient to evac.