Know What's Fluoroscopy

Fluoroscopy is an examination X-ray to generate a video resembling image . This method is used to observe the body's condition directly ( real time ) . Similar to CT s can, fluoroscopy using emission X-rays in capturing image r. However, p the difference is the image produced by fluoroscopy has only one viewing angle.

The purpose of fluoroscopy is various. Among these are for diagnosing the disease, checking conditions before and after treatment therapy, or to support the implementation of gastrointestinal, cardiovascular, vascular, muscular, respiratory, bone, joint, lung, and liver surgeries.

Generally fluoroscopy is combined with a contrast dye, a substance given to the patient to produce a clearer picture and allow the physician to distinguish an organ from the surrounding area. Contrast dye may be given by injection to the patient, taken by the patient, or inserted into the patient's anus.

Know What's Fluoroscopy

Fluoroscopy Indication

Fluoroscopy is used for several types of checks and treatments, such as:

  • Orthopedic procedures. The doctor will use fluoroscopy to help observe the fracture condition before bone repair surgery is performed. In addition, fluoroscopy can also be used to assist doctors in installing bone implants in the right position.
  • Gastrointestinal examination. In this procedure, the patient will be given a contrast dye that is drunk to aid the observation of the esophagus, stomach, small intestine, colon, anus, liver, gallbladder, and pancreas.>
  • Cardiovascular Procedure. Fluoroscopy is used to assist the procedure of action on the heart and blood vessels, such as the action to remove clots that block blood flow, cardiac angiography, or ringing of the blood vessels.

Warning Fluoroscopy

This procedure emits radiation. Exposure to X-ray radiation produced by fluoroscopy can affect the condition of the fetus. Therefore, pregnant women are not advised to undergo this procedure. In fact, it is advisable to avoid fluoroscopy space during this procedure.

In practice, fluoroscopy often uses contrast, such as barium. This substance is given in order to facilitate the doctor in observing the condition of the organs, because the resulting image will become more clear. However, for patients who have a history of allergies to contrast agents, should notify the doctor before fluoroscopy begins.

The use of contrast agents, especially by intravenous injection, should be avoided in patients with the following conditions:

  • Kidney failure
  • Heart failure
  • Multiple myeloma
  • Narrowing of the heart valve (especially the aorta)
  • Diabetes
  • Sickle cell anemia

In addition, for patients or who have a history of renal impairment, should also inform the doctor about their condition, because the contrast agent can affect kidney function.

Preparation for fluoroscopy

The following are the things that the patient needs to prepare before the fluoroscopy:

  • Increase drinking water.
  • Unleash all the accessories attached to the body, such as bracelets, earrings or necklaces, and store them in places that have been
  • Using special clothing that has been prepared by the hospital.
  • For a stomach exam, do not eat or drink anything since the night before the check.

Before the examination begins, the doctor will give a contrast dye. The form of administration of this substance varies, depending on the area to be observed. Among these are:

  • Oral or drunk. Aims to observe the condition of the esophagus or stomach. This substance may feel bad or cause nausea.
  • Enema. The dye in this form is given through the anus. Side effects can be discomfort and flatulence.
  • Injection. Dye substances injected into the blood vessels can help doctors in observing the condition of the gallbladder, urinary tract, liver, and blood vessels. The side effect that the patient may feel after being injected with this substance is that the body feels warm and like there is a sense of metal in the mouth.

Fluoroscopic Procedures

Checks can be performed with two types of fluoroscopic fluoroscope, fluoroscopic mobile fluoroscopic i>). Non-removable fluoroscopes are usually used to support endoscopic procedures in the gastrointestinal tract (eg ERCP) or cardiac catheterization. While mobile is commonly used for orthopedic action, such as observation of joints, bones, and implants or ESWL actions. An example of mobile fluoroscopic is a C-arm engine.

No pain arises when fluoroscopy or X-ray imaging takes place. However, supporting procedures, such as injecting contrast substances in joints or blood vessels, can cause pain. In practice, the patient will be required to lie down on the provided bed. Then, the doctor will ask the patient to direct the body part to be observed to the fluoroscope, change position, or hold your breath as the procedure progresses.

In certain cases, as in the arthrography procedure (joint observation), the fluid present in the joint will be taken before the contrast dye is injected into the patient. Afterwards, the patient will be asked to move the joints so that the contrast dye can spread throughout the joints.

The duration of fluoroscopy depends on which part of the body is examined, and whether there is action to be performed. Generally, fluoroscopy only takes about 30 minutes. But if a deep examination is needed, such as a small intestine examination, the time required becomes more, at about 2-6 hours.

After Fluoroscopy

After the examination is complete, the patient is usually allowed to go home. However, if there is an act of using drugs, the patient is not allowed to drive until the effects of the drug are completely lost. Therefore, there should be a relative or friend of the patient delivering home.

In certain procedures, such as cardiac catheterization, patients will need hospitalization for recovery. Patients will also be asked to see a doctor again, if signs of infection appear on the site of the entry of the catheter, such as pain, redness, or swelling.

The results of fluoroscopy can be out within 1-3 days. The doctor will determine the next appointment schedule to explain the results of the examination.

The patient can return to normal activities. Prioritize to drink plenty of water, so barium or contrast agent used on fluoroscopy out of the body. Consult a physician to find out the required daily fluid intake.

Fluoroscopic Risks

Fluoroscopy is an X-ray examination that exposes radiation. This procedure can trigger health problems, such as skin disorders and cancer, but its potential is small and only occurs if done in a long time. In addition, the use of contrast dyes in fluoroscopy poses a risk of allergic reactions or impaired renal function.

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