What is a Small Bowel Follow Through (SBFT)?

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The small intestine, a critical component of the digestive system, is often evaluated using specialized diagnostic procedures like a small bowel follow through (SBFT). Radiology departments commonly perform this fluoroscopic examination to visualize the small bowel’s structure and function. Gastroenterologists frequently order this procedure when patients present with symptoms suggestive of conditions such as Crohn’s disease. Therefore, understanding what is a small bowel follow through, including its preparation and execution, is essential for both medical professionals and patients seeking comprehensive gastrointestinal health information.

The small bowel, also known as the small intestine, is a critical component of the digestive system. It bridges the stomach and the large intestine. Its primary role involves the continued digestion and absorption of nutrients from the food we consume. This intricate process ensures the body receives the necessary building blocks for energy, growth, and repair.

Understanding the Small Bowel’s Role

As chyme, the partially digested food, enters the small bowel, it encounters a barrage of digestive enzymes. These enzymes are secreted by the pancreas and the small bowel itself. These enzymes break down complex carbohydrates, proteins, and fats into simpler molecules that can be absorbed into the bloodstream.

The small bowel’s inner lining is uniquely structured to maximize nutrient absorption. It features circular folds, villi, and microvilli. These structures increase the surface area available for absorption, making the small bowel an incredibly efficient organ.

The Small Bowel Follow-Through: A Diagnostic Tool

The Small Bowel Follow-Through (SBFT) examination is a specialized radiological procedure. It is designed to evaluate the small intestine. The SBFT allows physicians to visualize the structure and function of the small bowel, helping diagnose a wide range of conditions.

SBFT as a Type of Enterography

The SBFT falls under the umbrella of enterography techniques. Enterography refers to any imaging method used to visualize the small intestine. These techniques often involve the use of contrast agents to enhance the visibility of the bowel.

The SBFT specifically utilizes fluoroscopy, a real-time X-ray imaging technique. It tracks the passage of a contrast agent, typically barium sulfate, through the small bowel. This allows radiologists to observe the bowel’s motility and identify any abnormalities.

What SBFT Helps to Diagnose

The SBFT exam can assist in diagnosing a variety of small bowel disorders. These include:

• Inflammatory bowel diseases (IBD) like Crohn’s disease.
• Obstructions caused by adhesions, tumors, or other factors.
• Tumors or other masses within the small bowel.
• Malabsorption syndromes.

By providing detailed images of the small bowel, the SBFT helps physicians make accurate diagnoses. This then informs appropriate treatment plans for patients experiencing gastrointestinal symptoms.

The small bowel, also known as the small intestine, is a critical component of the digestive system. It bridges the stomach and the large intestine. Its primary role involves the continued digestion and absorption of nutrients from the food we consume. This intricate process ensures the body receives the necessary building blocks for energy, growth…

The SBFT Team: Roles and Responsibilities

The Small Bowel Follow-Through (SBFT) examination, while seemingly a solitary event captured by an imaging machine, is actually the product of a collaborative effort involving various medical professionals. Each member of the team plays a crucial role, from the initial decision to order the test to the final interpretation of the results. Understanding these roles is essential for appreciating the complexity and accuracy of the diagnostic process.

The Radiologist: The Image Interpreter

The radiologist is perhaps the most central figure in the SBFT process after the patient. Their primary responsibility lies in interpreting the images obtained during the examination. This involves a careful and systematic evaluation of the small bowel, looking for any abnormalities in its structure or function.

The radiologist must possess a deep understanding of small bowel anatomy, physiology, and pathology to accurately identify and characterize any potential issues.

Furthermore, the radiologist synthesizes their findings into a comprehensive report, detailing the observations and offering diagnostic impressions. This report is then communicated to the ordering physician to guide subsequent clinical decisions.

The Radiology Technologist: Orchestrating the Examination

The radiology technologist is responsible for performing the SBFT examination. This includes preparing the patient, administering the contrast agent, operating the imaging equipment, and ensuring the images are of high quality.

The technologist works closely with the radiologist during the fluoroscopic portion of the exam.

They adjust the imaging parameters, position the patient, and capture spot films as directed by the radiologist.

The technologist also plays a crucial role in patient safety, minimizing radiation exposure and ensuring patient comfort throughout the procedure.

The Gastroenterologist: The Ordering Physician

Gastroenterologists are often the physicians who initiate the SBFT examination. As specialists in digestive disorders, they are frequently the first point of contact for patients experiencing symptoms suggestive of small bowel pathology.

Based on the patient’s clinical presentation, medical history, and other diagnostic tests, the gastroenterologist determines whether an SBFT is necessary to further investigate the potential underlying cause of the patient’s symptoms.

The gastroenterologist integrates the SBFT results with other clinical information to develop a comprehensive treatment plan.

The Primary Care Physician: The Initial Gatekeeper

Primary Care Physicians (PCPs) play a vital role in identifying patients who may require further evaluation by a gastroenterologist and, subsequently, an SBFT examination.

They are often the first to encounter patients with vague or nonspecific abdominal complaints. When symptoms raise suspicion of a small bowel issue, the PCP makes the appropriate referral.

The PCP then continues to manage the patient’s overall health, incorporating the SBFT findings and treatment plan recommended by the gastroenterologist.

Nurses: Providing Essential Patient Care

Nurses contribute significantly to both pre- and post-procedure patient care. Prior to the SBFT, they may be involved in educating patients about the examination, answering questions, and ensuring they are properly prepared.

Post-procedure, nurses provide instructions on hydration and monitor for any adverse reactions to the contrast agent.

Their role is critical in ensuring patient comfort, safety, and adherence to post-procedure instructions, contributing to a positive patient experience and optimal outcomes.

Understanding Small Bowel Physiology in SBFT

The small bowel, also known as the small intestine, is a critical component of the digestive system. It bridges the stomach and the large intestine. Its primary role involves the continued digestion and absorption of nutrients from the food we consume. This intricate process ensures the body receives the necessary building blocks for energy, growth, and repair. Understanding these physiological processes is paramount for accurate interpretation of a Small Bowel Follow-Through (SBFT) examination. An SBFT is not simply about visualizing the anatomy, but about assessing the function of the small bowel in real-time.

The Symphony of Peristalsis

Peristalsis, the rhythmic contraction and relaxation of the intestinal muscles, is the driving force behind the movement of the contrast agent through the small bowel during an SBFT.

Normal peristalsis ensures the even distribution and progression of barium sulfate, or other contrast media, allowing for optimal visualization of the bowel loops.

The radiologist observes the speed and pattern of peristaltic waves to identify areas of slowed transit (potential obstruction or ileus) or accelerated transit (as seen in some inflammatory conditions).

Gastrointestinal Motility Under the Lens

Gastrointestinal motility refers to the overall movement of contents through the digestive tract.

In the context of an SBFT, motility is evaluated by observing how the contrast agent flows through the small bowel segments.

Delayed motility may suggest mechanical obstruction, adhesions, or even neuropathic disorders affecting the bowel’s ability to propel contents forward.

Conversely, rapid transit might indicate malabsorption issues or inflammatory conditions that irritate the bowel lining. Fluoroscopy, used in conjunction with spot films, is crucial in dynamically assessing motility.

Digestion and Absorption: The Silent Partners

While an SBFT primarily focuses on the structural and motor aspects of the small bowel, understanding digestion and absorption processes is vital for a holistic assessment.

Although the SBFT exam doesn’t directly visualize digestion and absorption, abnormalities in bowel structure or motility observed during the exam can indirectly suggest problems with these functions.

For example, dilated loops of the small bowel may lead the physician to suspect the small intestine’s digestion and absorption process.

In such cases, further investigations, such as blood tests or biopsies, might be warranted to evaluate the absorptive capacity of the small bowel lining.

The interplay between structure, motility, and these vital physiological processes dictates the overall health and functionality of the small bowel. Ultimately, a comprehensive interpretation of an SBFT requires careful consideration of all these elements.

Contrast Agents Used in SBFT: A Closer Look

Understanding Small Bowel Physiology in SBFT: The small bowel, also known as the small intestine, is a critical component of the digestive system. It bridges the stomach and the large intestine. Its primary role involves the continued digestion and absorption of nutrients from the food we consume. This intricate process ensures the body receives the essential building blocks and energy it requires. To visualize and assess the small bowel during an SBFT exam, contrast agents are crucial.

The choice of contrast agent, its administration, and its properties significantly influence the quality and diagnostic value of the examination.

Barium Sulfate: The Workhorse of SBFT

Barium sulfate stands as the primary contrast agent employed in Small Bowel Follow-Through (SBFT) examinations. It is an insoluble, radiopaque substance. This means it effectively blocks X-rays, appearing bright white on radiographic images.

Its high density provides excellent visualization of the small bowel’s mucosal lining and overall structure. The consistent opacification allows radiologists to clearly assess the bowel’s contours, identify any abnormalities, and track the flow of the contrast material.

Barium sulfate is generally well-tolerated by patients. However, it is crucial to ensure there are no contraindications, such as suspected bowel perforation or hypersensitivity to barium products.

Water-Soluble Contrast Agents: When Are They Preferred?

While barium sulfate is the standard, water-soluble contrast agents, such as Gastrografin (diatrizoate meglumine and diatrizoate sodium), offer an alternative in specific clinical scenarios.

These agents are preferred when there is a suspected bowel perforation or a high risk of aspiration. Unlike barium, water-soluble contrast is absorbed by the body if it leaks outside the bowel. This reduces the risk of complications like barium peritonitis.

However, water-soluble agents have certain limitations. They may not provide the same level of mucosal detail as barium. They can also cause significant fluid shifts due to their high osmolality, potentially leading to dehydration or electrolyte imbalances, especially in vulnerable patients.

Oral Contrast Administration: The Patient Experience

The typical SBFT examination involves the oral administration of the contrast agent.

Patients are usually instructed to drink a specified volume of barium or water-soluble contrast. The amount varies, but it’s often around 500ml to 1000ml. Palatability can be a concern, as barium suspensions may have a chalky taste and texture.

Strategies like chilling the contrast or using flavored formulations can improve patient tolerance.

After ingestion, a series of X-ray images are taken at regular intervals. The radiologist monitors the progression of the contrast through the small bowel, capturing images until the contrast reaches the ileocecal valve, marking the entry into the large intestine. This process can take several hours, requiring patient cooperation and patience.

Medical Conditions Diagnosed with SBFT

Understanding Small Bowel Physiology in SBFT: The small bowel, also known as the small intestine, is a critical component of the digestive system. It bridges the stomach and the large intestine. Its primary role involves the continued digestion and absorption of nutrients from the food we consume. This intricate process can be disrupted by various medical conditions, which is where the Small Bowel Follow-Through (SBFT) examination plays a crucial diagnostic role.

The SBFT is instrumental in identifying a range of small bowel pathologies. It provides clinicians with valuable insights into structural and functional abnormalities. Let’s explore some key medical conditions that this imaging technique helps diagnose.

Crohn’s Disease: Identifying Inflammatory Changes

Crohn’s disease is a chronic inflammatory bowel disease (IBD). It can affect any part of the gastrointestinal tract, but it often involves the small intestine.

SBFT is used to assess the extent and severity of inflammation. It is also used to look for complications like strictures (narrowing of the bowel) and fistulas (abnormal connections between different parts of the bowel or other organs).

Key findings on SBFT suggestive of Crohn’s disease include bowel wall thickening, ulcerations, and the characteristic "string sign." This sign indicates a severely narrowed segment of the small bowel due to inflammation and scarring.

Small Bowel Obstruction: Detecting Blockages

Small bowel obstruction refers to any blockage that prevents the normal flow of intestinal contents. Obstructions can arise from various causes. They may include adhesions, hernias, tumors, or inflammatory conditions.

SBFT is effective in identifying the location and nature of the obstruction. It helps to differentiate between partial and complete blockages.

The examination reveals a dilated small bowel proximal (upstream) to the obstruction. There is also a collapsed bowel distal (downstream) to the blockage. This provides vital information for surgical planning and management.

Small Bowel Tumors: Detection and Characterization

Tumors of the small bowel are relatively rare. However, SBFT can play a crucial role in their detection and characterization.

SBFT may reveal the presence of a mass or an area of irregular narrowing within the small bowel lumen.

It is important to note that SBFT is often followed by other imaging modalities or endoscopic procedures to obtain a definitive diagnosis and assess the tumor’s characteristics.

Adhesions: A Common Cause of Obstruction

Adhesions are bands of scar tissue that can form within the abdomen after surgery or inflammation.

These adhesions can cause the small bowel to become kinked or twisted. This leads to obstruction.

SBFT can help identify the presence of adhesions. It does this by demonstrating areas of fixed narrowing or angulation of the small bowel.

Malabsorption: Investigating Potential Causes

Malabsorption refers to the impaired absorption of nutrients from the small intestine. This can result from a variety of underlying conditions.

These include celiac disease, Crohn’s disease, or surgical resections of the small bowel.

SBFT can aid in the investigation of malabsorption by identifying structural abnormalities. These structural abnormalities might contribute to the malabsorption process.

While not a primary test for malabsorption, it can provide valuable clues. These clues can lead to further targeted investigations.

Common Symptoms Leading to an SBFT Examination

Understanding Small Bowel Physiology in SBFT: The small bowel, also known as the small intestine, is a critical component of the digestive system. It bridges the stomach and the large intestine. Its primary role involves the continued digestion and absorption of nutrients from the food we consume. This intricate process can be disrupted by a variety of factors, leading to symptoms that warrant further investigation. When these symptoms become persistent or severe, a physician may order a Small Bowel Follow-Through (SBFT) examination to visualize the small intestine and identify potential underlying causes.

Abdominal Pain: A Key Indicator

Abdominal pain stands as one of the most prevalent symptoms prompting an SBFT exam. The nature of the pain, its location, and associated symptoms provide crucial clues to the physician.

Is the pain constant or intermittent? Is it sharp, dull, or crampy? These characteristics help narrow down the potential diagnoses.

For example, intermittent, crampy pain might suggest a partial obstruction, while constant, severe pain could indicate inflammation or ischemia. The SBFT allows for direct visualization of the small bowel, helping to identify structural abnormalities, inflammation, or masses that may be causing the pain.

It can reveal strictures caused by Crohn’s disease, adhesions from previous surgeries, or even tumors that are contributing to the patient’s discomfort. Ruling out or confirming these conditions is paramount to crafting an effective treatment strategy.

Diarrhea: Investigating Small Bowel Pathology

Chronic diarrhea, particularly when accompanied by other symptoms such as weight loss or malabsorption, often raises suspicion of small bowel pathology. While numerous factors can cause diarrhea, an SBFT examination is valuable in assessing the small bowel’s role in this symptom.

Conditions like Crohn’s disease, celiac disease, and small bowel bacterial overgrowth can all disrupt normal digestive and absorptive processes, leading to chronic diarrhea. The SBFT helps visualize the small bowel mucosa, identifying signs of inflammation, ulceration, or thickening that are characteristic of these conditions.

Furthermore, the examination can assess the rate of transit through the small bowel. Rapid transit can lead to diarrhea due to inadequate absorption of fluids and nutrients.

By evaluating the structure and function of the small bowel, the SBFT can help pinpoint the cause of chronic diarrhea and guide appropriate management.

Bleeding: Identifying the Source

Gastrointestinal bleeding, even in small amounts, warrants a thorough investigation. When the source of bleeding is suspected to be in the small bowel, an SBFT examination may be ordered.

Bleeding from the small bowel can be subtle and difficult to detect by other means, such as upper endoscopy or colonoscopy. The SBFT can help identify potential sources of bleeding, such as ulcers, tumors, or arteriovenous malformations (AVMs).

While newer modalities like capsule endoscopy and CT angiography are increasingly used to investigate small bowel bleeding, the SBFT remains a valuable tool in certain clinical scenarios. Especially where other imaging is not available or inconclusive.

The SBFT can provide critical information regarding the location and nature of the bleeding source, aiding in diagnosis and guiding further intervention.

Imaging Equipment and Techniques in SBFT

Understanding Small Bowel Physiology in SBFT: The small bowel, also known as the small intestine, is a critical component of the digestive system. It bridges the stomach and the large intestine. Its primary role involves the continued digestion and absorption of nutrients from the food we consume. This intricate process is visualized during a Small Bowel Follow-Through (SBFT) examination, which relies on specific imaging equipment and techniques to provide diagnostic insights. Let’s delve into the core technology and methods used in this essential radiological procedure.

The Role of X-Ray Machines in SBFT

The foundation of the SBFT examination rests upon the X-ray machine, also known as radiography.

This device emits electromagnetic radiation, which penetrates the body and interacts with different tissues based on their density.

Dense structures, such as bone, absorb more radiation and appear whiter on the resulting image.

Conversely, air and soft tissues allow more radiation to pass through, resulting in darker shades.

In SBFT, the X-ray machine is crucial for capturing still images at various time points during the contrast agent’s journey through the small bowel.

Fluoroscopy: Real-Time Monitoring

Fluoroscopy offers a dynamic view of the contrast agent’s progression.

Unlike static X-ray images, fluoroscopy provides a continuous, real-time display on a monitor.

This allows the radiologist to observe peristaltic movements, identify areas of narrowing or obstruction, and assess the overall flow of the contrast material.

The real-time visualization afforded by fluoroscopy is indispensable for guiding the examination and capturing images at crucial moments.

Spot Films: Capturing Key Moments

During fluoroscopy, spot films are individual X-ray images taken to document specific findings.

These images are captured when the radiologist identifies an area of interest or a significant event, such as a hold-up of contrast or an unusual anatomical feature.

Spot films serve as permanent records of these observations and are essential for detailed analysis and interpretation.

Understanding Radiolucent and Radiopaque Properties

The interpretation of SBFT images hinges on understanding the concepts of radiolucency and radiopacity.

Radiopaque substances, such as barium, absorb a significant amount of X-ray radiation and appear white on the image.

This is why contrast agents are used – they enhance the visibility of the small bowel.

Radiolucent materials, like air, allow most of the radiation to pass through and appear dark.

The differences in radiopacity between the contrast agent, bowel wall, and surrounding structures enable radiologists to identify abnormalities and diagnose various conditions.

SBFT Alternatives: Other Imaging Options for the Small Bowel

Understanding Small Bowel Physiology in SBFT: Visualizing the small bowel isn’t limited to SBFT alone. Several alternative imaging techniques offer unique advantages and disadvantages, and the choice of method often depends on the clinical context, suspected pathology, and patient-specific factors. Let’s critically examine these alternatives.

Enteroclysis: Direct Contrast Delivery

Enteroclysis involves a more direct and invasive method of contrast administration compared to SBFT. A tube is inserted through the nose or mouth, extending into the duodenum, allowing for the controlled infusion of contrast material—typically barium and methylcellulose.

This direct delivery enables better distention of the small bowel loops, potentially improving the detection of subtle lesions or strictures. However, the procedure is generally less comfortable for the patient and carries a slightly higher risk of complications, such as perforation or aspiration.

CT Enterography: Cross-Sectional Imaging

CT Enterography (CTE) utilizes computed tomography (CT) to generate detailed cross-sectional images of the small bowel. Prior to the scan, patients ingest a large volume of oral contrast to distend the bowel loops. Intravenous contrast is also often administered to enhance the visualization of bowel wall abnormalities.

CTE offers several advantages: It provides excellent anatomical detail, allows for the evaluation of extra-intestinal structures, and is relatively quick to perform.

However, CTE involves exposure to ionizing radiation, which is a concern, particularly in younger patients or those requiring repeated examinations.

MR Enterography: Radiation-Free Imaging

MR Enterography (MRE) employs magnetic resonance imaging (MRI) to visualize the small bowel. Similar to CTE, patients consume oral contrast agents to distend the bowel, and intravenous contrast may be used to enhance image quality.

MRE is a valuable alternative as it does not involve ionizing radiation, making it particularly appealing for pediatric patients and individuals requiring frequent imaging.

Moreover, MRE offers superior soft tissue contrast, which can be advantageous in characterizing inflammatory bowel disease and other small bowel pathologies.

However, MRE is more time-consuming than CTE, may be less widely available, and is more susceptible to motion artifacts.

Capsule Endoscopy: A Minimally Invasive Approach

Capsule endoscopy offers a minimally invasive approach to visualizing the small bowel. The patient swallows a small, disposable capsule containing a camera that captures images as it traverses the digestive tract.

The images are transmitted wirelessly to a recording device worn by the patient. Capsule endoscopy is particularly useful in detecting sources of obscure gastrointestinal bleeding and in evaluating mucosal abnormalities.

However, capsule endoscopy has limitations. It cannot be used to obtain biopsies, and it may not be suitable for patients with known or suspected bowel obstructions. Also, there is a small risk of capsule retention.

Double-Contrast SBFT: An Enhanced Technique

Double-contrast SBFT, although less common now due to the advent of cross-sectional imaging, involves the use of both barium and air to provide enhanced visualization of the small bowel mucosa.

The air distends the bowel loops, while the barium coats the mucosal surface, allowing for better detection of subtle lesions. This technique can be more sensitive than standard SBFT for detecting small ulcers or polyps.

However, double-contrast SBFT is more technically demanding to perform and may be less comfortable for the patient.

Choosing the Right Modality

Ultimately, the choice between SBFT and its alternatives depends on various factors, including the clinical indication, patient characteristics, and availability of resources. SBFT remains a useful and cost-effective option in certain settings, particularly for evaluating motility disorders and certain types of small bowel obstructions. However, CTE, MRE, and capsule endoscopy offer valuable advantages in specific clinical scenarios, and the optimal imaging strategy should be individualized based on the patient’s needs.

What to Expect: The SBFT Procedure Explained

Understanding Small Bowel Physiology in SBFT: Visualizing the small bowel isn’t limited to SBFT alone. Several alternative imaging techniques offer unique advantages and disadvantages, and the choice of method often depends on the clinical context, suspected pathology, and patient-specific factors. The SBFT examination, while a valuable diagnostic tool, requires careful consideration of several factors to ensure patient safety and optimal results.

This section delves into the procedural aspects of SBFT, covering crucial elements such as patient preparation, risk assessment, informed consent, radiation exposure, and necessary post-procedure care. These elements collectively ensure the examination is both safe and effective.

Patient Preparation: Setting the Stage for Success

Proper patient preparation is critical for a successful SBFT examination. Typically, patients are instructed to adhere to a fasting period, usually lasting 8-12 hours, before the procedure. This fast ensures the stomach is empty, facilitating clear visualization of the small bowel as the contrast agent progresses.

Patients should also inform their healthcare provider of any pre-existing medical conditions, allergies (especially to contrast agents), and medications they are currently taking. Certain medications, such as those that affect gastrointestinal motility, may need to be temporarily discontinued.

Detailed instructions are usually provided to the patient beforehand, emphasizing the importance of compliance to ensure the examination yields accurate results. Failure to follow these instructions may necessitate rescheduling the procedure.

Risks and Benefits: A Balanced Perspective

Like all medical imaging procedures, SBFT carries both potential risks and significant benefits. The primary benefit lies in its ability to visualize the small bowel in real-time, allowing for the detection of abnormalities such as strictures, inflammation, and tumors.

However, it’s equally important to acknowledge the potential risks. These include:

• Allergic reactions to the contrast agent (though rare).
• Aspiration of the contrast material.
• Constipation following the procedure.

The risk of radiation exposure is also a concern, although the dosage is generally considered low. The benefits of obtaining a diagnosis that can guide treatment must be weighed against these risks.

Informed Consent: Empowering the Patient

Informed consent is a cornerstone of ethical medical practice. Before undergoing an SBFT examination, patients must receive a clear and comprehensive explanation of the procedure, its potential benefits, and associated risks.

This discussion should address any patient concerns and answer all questions thoroughly. Patients must understand that they have the right to refuse the procedure at any time.

The signed consent form serves as documentation that the patient has been adequately informed and has voluntarily agreed to undergo the examination. This promotes patient autonomy and shared decision-making.

Radiation Exposure: Minimizing the Dose

Radiation exposure is an inherent aspect of SBFT, as it uses X-rays to generate images. While the radiation dose is generally considered low, it is essential to minimize exposure whenever possible.

Radiology technologists adhere to strict protocols to optimize imaging parameters and reduce radiation dose. Techniques such as collimation (limiting the X-ray beam to the area of interest) and shielding are employed to protect patients.

The principle of "as low as reasonably achievable" (ALARA) guides radiation safety practices, ensuring that the minimum radiation dose necessary to obtain diagnostic-quality images is used.

Post-Procedure Care: Ensuring a Smooth Recovery

Following the SBFT examination, patients receive specific post-procedure instructions. One of the most important recommendations is to increase fluid intake to help flush the contrast agent from the body.

Patients may experience mild constipation due to the barium sulfate; therefore, a mild laxative may be recommended. It’s crucial to monitor bowel movements and report any persistent abdominal pain, fever, or rectal bleeding to their healthcare provider.

Patients are usually advised that their stool may appear white or light-colored for a day or two as the barium is eliminated. Clear communication of these post-procedure guidelines ensures patient comfort and facilitates a smooth recovery.

So, if your doctor mentions you need a small bowel follow through, or SBFT, don’t panic! It’s just a way for them to get a good look at your small intestine. Hopefully, this article has helped demystify what a small bowel follow through actually is and what to expect. If you still have questions, definitely talk to your healthcare provider – they’re the best resource for your specific situation.