Lower gastrointestinal series a familial history of polyps or colon cancer, although it is not uncommon for a barium enema to be done after a colonoscopy for further evaluation. Lower gastrointestinal series A lower gastrointestinal series is a medical procedure used to examine and diagnose problems with the human colon (large intestine). Radiographs (X-ray pictures) are taken while barium sulfate, a radiocontrast agent, fills the colon via an enema through the rectum. The term barium enema usually refers to a lower gastrointestinal series, although enteroclysis (an upper gastrointestinal series) is often called a small bowel barium enema. This test may be done in
Lower gastrointestinal series side while a well lubricated enema tube is inserted into the rectum. As the enema enters the body, the patient might have the sensation that they have to have a bowel movement. The barium sulfate, a radiodense (shows as white on X-ray) contrast medium, is then allowed to flow into the colon. A large balloon at the tip of the enema tube may be inflated to help keep the barium sulfate inside. The flow of the barium sulfate is monitored by the health care provider on an X-ray fluoroscope screen (like a TV monitor). Air may be puffed into the