[Coloscopic small intestinal enema].

Coloscopic small bowel enema, a new diagnostic method, permits small and large intestinal investigation in one session. A coloscope is required equipped with a circular mounted balloon at the distal end. The endoscope is placed into coecum using the conventional technique (coloscopy). After intubation of the ileocoecal valve the balloon is inflated in the terminal ileum. This prevents reflux of the contrast medium and methyl-cellulose solution which are instilled into the small bowel through the endoscope instrumentation bore. Double-contrast investigation of the small bowel is particularly suitable for diagnosis of inflammatory diseases (e.g. Crohn's disease), Meckel's diverticulum and polypoid lesions such as carcinoid tumours.