Abdominal x-ray as a scout film for other procedures such as barium enemas. An upper gastrointestinal series is where a contrast medium, usually a radiocontrast agent such as barium sulfate barium salt mixed with water, is ingested or instilled into the gastrointestinal tract, and X-rays are used to create radiographs of the regions of interest. The barium enhances the visibility of the relevant parts of the gastrointestinal tract by coating the inside wall of the tract and appearing white on the film. A lower gastrointestinal series is where radiographs are taken while barium sulfate, a radiocontrast agent, fills the colon via an
Sigmoid colon is completely surrounded by peritoneum (and thus is not retroperitoneal), which forms a mesentery (sigmoid mesocolon), which diminishes in length from the center toward the ends of the loop, where it disappears, so that the loop is fixed at its junctions with the iliac colon and rectum, but enjoys a considerable range of movement in its central portion. Pelvic splanchnic nerves are the primary source for parasympathetic innervation. Lumbar splanchnic nerves provide sympathetic innervation via the inferior mesenteric ganglion. Behind the sigmoid colon are the external iliac vessels, overy, obturator nerve, the left Piriformis, and left sacral plexus of nerves.