The usefulness of barium enema using a water-soluble contrast medium as an emergency examination

Colorectal obstruction is a critical condition requiring prompt diagnosis and intervention. Gastrografin®, a water-soluble contrast agent, combines diagnostic and therapeutic benefits, facilitating bowel cleansing and enhanced intestinal motility (1). This study assessed the safety and effectiveness of Gastrografin® enemas in emergency settings. From 2013 to 2023, 40 patients with suspected colorectal obstruction identified through imaging studies, including computed tomography (CT), underwent Gastrografin® enemas. The contrast agent was diluted 3-4 times with warm water and administered using an automatic injector. Antispasmodic agents were routinely administered and air insufflation was avoided to minimize complications. Glycerin enemas were used as needed, and no oral laxatives were administered.