Ko'olau Radiology offers many types of x-ray exams. Many of the basic procedures such as chest x-rays, donít require any special patient preparation. When ordered by a physician, they usually donít require pre-authorization from an insurance carrier and commonly can be completed upon presentation of a request. Some x-ray tests do require special preparation of the patient.
Upper GI Series
An Upper GI is a series of x-rays examining the esophagus, stomach and first part of the small intestine (duodenum). These parts of the body are known as the Upper Gastrointestinal (GI) tract or upper digestive system. A barium swallow is used when only the pharynx and esophagus are evaluated. In order for these parts of the anatomy to show up on an x-ray the upper gastrointestinal tract must be coated or filled with a contrast material called barium. Barium is an element that appears white on x-ray.
A barium enema is a valuable diagnostic procedure used to examine the lower intestine or colon for abnormalities. To be able to visualize the lining of the colon, a liquid contrast agent called barium is inserted into the rectum. There will also be air inserted as well to help expand the walls of the colon. This enables the radiologist to get a more detailed look at the lining of your colon. Pictures are taken once the barium is instilled. A barium enema enables the radiologist to detect any problems such as a blockage, cancer, a mass, polyp (small tumor that is usually benign that grows on the lining), diverticula (small pouches that form on the colon wall that can become inflamed), inflammatory bowel disease, narrowing of the colon (stricture) or other disorders. Along with colonoscopy, barium enema remains the standard for diagnosing diseases of the colon.
Esophagram (Barium Swallow)
An Esophagram is a series of X-rays of the esophagus. The X-ray pictures are taken after the patient drinks a solution that coats and outlines the walls of the esophagus. This is also called a barium swallow. This test may be used to determine the cause of painful swallowing, difficulty with swallowing, abdominal pain, bloodstained vomit, or unexplained weight loss.
Other Fluoroscopy Procedures Available
1380 Lusitana Street, Suite 200, Honolulu, HI 96813