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What Does This Barium Enema Report Indicate?

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Posted on Tue, 4 Aug 2015
Question: Have had llq abd pain for about 2 mos. Had colonoscopy with no findings other than hemorrhoids but prep was unsatisfactory according to doctor. Barium enema showed "15 mm filling defect in posterior rectum." Is this likely to be cancer?
doctor
Answered by Dr. Panagiotis Zografakis (21 minutes later)
Brief Answer:
it could be but it's not certain

Detailed Answer:
Hello,

a filling defect means that barium (the radiopaque substance) could not fill the specific location in the intestine. Since the prep was unsatisfactory - as you mentioned - it could be just stool blocking the barium to spread all around the intestine. Or it could be a mass in the intestine (polyps, cancer, etc).

The best thing to do, is to repeat the colonoscopy as soon as possible but do a better preparation this time! The colonoscopic findings cannot be matched by other tests.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (4 minutes later)
The doctor is recommending an anoscopy. Will this achieve the same?
doctor
Answered by Dr. Panagiotis Zografakis (8 minutes later)
Brief Answer:
it will clarify the finding

Detailed Answer:
This test will definitely clarify the specific finding that we talked about but it won't check the whole bowel. Since the preparation was not sufficient, I would recommend a new colonoscopy, just to be sure.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3814 Questions

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What Does This Barium Enema Report Indicate?

Brief Answer: it could be but it's not certain Detailed Answer: Hello, a filling defect means that barium (the radiopaque substance) could not fill the specific location in the intestine. Since the prep was unsatisfactory - as you mentioned - it could be just stool blocking the barium to spread all around the intestine. Or it could be a mass in the intestine (polyps, cancer, etc). The best thing to do, is to repeat the colonoscopy as soon as possible but do a better preparation this time! The colonoscopic findings cannot be matched by other tests. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!