The Loopogram is a diagnostic procedure often overlooked by doctors, but it's crucial for examining bowel and urinary tract health. You'll find it especially useful if you're dealing with inflammatory bowel disease or have had surgery. In this test, a contrast agent is injected to capture real-time X-ray images, providing detailed insights into your internal structures. The procedure usually lasts about 30 minutes, with preparations requiring fasting beforehand. Though it's not commonly discussed, a Loopogram can reveal issues other tests might miss. Discovering more about this procedure could empower you in managing your health.
Key Takeaways
- A loopogram is a specialized imaging test used to evaluate bowel and urinary structures, often overlooked in clinical discussions.
- It utilizes a contrast agent and fluoroscopy for real-time X-ray visualization of bowel loops and stomas.
- Loopograms are particularly useful for diagnosing inflammatory bowel disease, tumors, and post-surgical complications.
- The procedure involves a collaborative team of radiologic technologists, radiologists, and nurses for effective patient care.
- Though beneficial, loopograms pose risks like allergic reactions and radiation exposure, making patient selection crucial.
What Is a Loopogram?

A loopogram is an important diagnostic procedure used to examine sections of the bowel that connect to the skin surface, such as in cases of colostomies or ileal conduits. This test helps assess the functioning and structure of the bowel loop, ureters, kidneys, and stoma. It's commonly used for both digestive and urinary tract evaluations, making it a versatile tool in medical diagnostics. You might also hear it referred to as an ileal conduitogram, ileal loopography, or ileostoureterography. During the procedure, a contrast agent is injected to visualize internal structures on X-ray images, providing crucial insights into your health. Additionally, the loopogram primarily assesses issues related to stomas, such as blockages and scar tissue.
Before the loopogram, you'll need to fast for about eight hours. Make sure to notify the radiographer if you're pregnant, and you can take medications with a small amount of water. It's advised to wear loose clothing and remove any metallic objects. The procedure involves inserting a small catheter into the stoma, followed by contrast injection while X-ray images are taken.
Who Conducts the Procedure?

When it comes to conducting a loopogram, several key professionals are involved in ensuring a smooth process.
First, radiologic technologists take center stage. They're nationally registered with the A.R.R.T. and licensed in Florida, responsible for conducting the exam itself. Their extensive training in handling radiological equipment ensures your safety and comfort throughout the procedure. Additionally, they are skilled in using a 14 French Foley catheter during the exam to introduce contrast media.
Next, radiologists play a crucial role. They may oversee the loopogram, interpreting the images captured during the exam. After assessing your urinary tract for any issues like narrowing or leaks, they'll send a detailed report to your physician. If necessary, they'll also discuss their findings with you, aiding in any treatment planning based on the results.
Support staff, including nurses and other healthcare professionals, also contribute significantly. They help prepare you for the exam, provide guidance and assistance during the procedure, and ensure you're properly positioned for X-rays.
They also make sure you follow any pre-exam instructions, offering support to parents or caregivers of children undergoing the procedure. Each member of this team plays a vital role in making your loopogram experience as seamless as possible.
Procedure Location Details

The loopogram is conducted in the Radiology Department, typically within a fluoroscopy room designed for this specific type of imaging. If you're a pediatric patient, you might find yourself in a specialized Children's Imaging Department.
Upon arrival, you'll be asked to change into a clean gown, and it's important to remove all jewelry and metal objects from the area being examined. Lockers are available for you to secure your clothes and valuables during the procedure.
The examination room is prepared meticulously, ensuring it's clean and equipped with swabs to manage any leakage from the stoma. You'll encounter fluoroscopy equipment that captures real-time moving images, along with x-ray tables and image intensifiers.
Radiographers and radiologists will be present, supported by necessary assistants to guide you through the process.
Safety is a priority, so if you're pregnant, breastfeeding, or have specific needs, notify the staff beforehand. They can arrange for interpreters if needed and will take precautions concerning potential allergic reactions to contrast materials.
Don't forget to bring a spare stoma bag and any necessary equipment to ensure a smooth procedure.
Duration of the Loopogram

You'll find that the loopogram procedure typically lasts between 30 minutes to an hour. While the actual exam may only take about 15 minutes, various preparation steps and waiting times extend the overall duration.
You'll need to arrive early to change into a patient gown and remove any metallic objects, which can add extra time to your visit. Don't forget that fasting for eight hours before the exam is usually required, contributing further to your time at the hospital.
During the procedure, a catheter is used to inflate the ileal conduit and fill it with contrast media, which takes a few minutes. The technologist may adjust your position multiple times for multiple views, ensuring an adequate evaluation. Proper timing of the loopogram can help reduce complications associated with the procedure.
After the exam, you can typically resume your normal activities, although some follow-up instructions might add a few extra minutes.
The radiologist will review the images and send a report to your physician within 24–48 hours. In most cases, you won't need to stay at the hospital unless complications arise or further tests are necessary.
Step-by-Step Exam Process

Preparing for a loopogram involves several key steps to ensure a smooth examination process.
First, you'll change into an examination gown, which helps maintain hygiene and comfort. Before the procedure starts, make sure to remove any metallic objects like belts, zippers, or piercings, as these can interfere with the x-ray beam.
Next, your stoma bag will be removed, and the area will be cleaned. It's a good idea to keep your clothes and belongings in a provided bag nearby. If you're pregnant, inform your physician before the procedure.
When it's time for the catheter insertion, a thin, lubricated rubber catheter will be gently inserted into your stoma. A small balloon at the end will inflate to create a seal, preventing contrast media from leaking out. Although you might feel slight discomfort, the catheter will be secured in place. This step is crucial to ensure proper drainage of conduit during the procedure.
Once everything's set, contrast media will be injected through the catheter into your bowel. You'll be positioned in various ways to capture multiple x-ray images, helping assess the condition of your ileal conduit.
After the required images are taken, the catheter will be removed, and you can replace your stoma bag.
Preparation and Aftercare Guidelines

Proper preparation and aftercare are essential for a successful loopogram. Before your procedure, you should avoid eating or drinking for several hours. If you're bringing a child, remember that children over one year need to fast for two hours, while those under one year shouldn't eat for one hour.
Wear loose, comfortable clothing without any metal objects like zips or poppers, and remove all jewelry beforehand. Don't forget to empty your bladder right before the test.
For children, adhere to the specific feeding guidelines and bring a spare nappy or pad for after the exam. Avoid dressing them in clothes with metal parts, and older kids may need to wear a hospital gown. Parents might need to help position the child during the procedure and wear a lead coat.
After the loopogram, drink plenty of water and follow your doctor's instructions. You may experience a little leakage from the stoma, but this should stop quickly, and a new stoma bag can be applied.
If you have any questions or concerns, don't hesitate to contact the radiology department for assistance.
Frequently Asked Questions
Is a Loopogram Painful or Uncomfortable?
A loopogram isn't typically painful, but you might feel some slight discomfort during the catheter insertion.
The lubricated catheter helps minimize any irritation, and most people tolerate the procedure well.
While the examination involves some sensations, it's generally described as painless or causing minimal discomfort.
After the procedure, any leakage from the stoma is temporary, and you should be able to resume normal activities shortly without lasting pain.
How Often Should Loopograms Be Performed?
You should have loopograms performed after bladder removal and ileal conduit creation to ensure everything's functioning well.
Typically, your doctor might schedule them periodically for long-term monitoring. If you experience symptoms like pain or difficulty urinating, a loopogram can help assess your condition.
The frequency largely depends on your specific situation and medical history, so it's crucial to follow your healthcare provider's recommendations for follow-ups and assessments.
What Are the Risks Associated With a Loopogram?
When considering a loopogram, you should be aware of several risks.
Allergic reactions to the contrast medium, though rare, can occur, including serious anaphylactic reactions.
There's also a risk of bowel perforation, which may lead to severe complications like sepsis.
You might experience bloating during the procedure, and it's essential to inform your healthcare provider about any allergies.
Radiology departments are equipped to manage these potential complications effectively.
Can I Eat or Drink After the Procedure?
Yes, you can eat or drink right after the procedure.
There aren't any specific dietary restrictions, so you can return to your normal eating habits immediately.
If you feel a bit bloated, that's normal, but it shouldn't be painful.
Just listen to your body and enjoy your meals as you usually would.
If you have any concerns, don't hesitate to reach out to your healthcare provider for guidance.
What Happens if the Results Are Abnormal?
If the results are abnormal, you might face complications such as luminal narrowing or leaks, which could require further diagnostic tests like a colonoscopy.
Your doctor may suggest surgical intervention for issues like bowel perforation or anastomotic leaks.
It's essential to monitor your condition closely, as you could be at a higher risk for postoperative complications.
Your treatment plan may change based on these findings, so staying in touch with your healthcare team is crucial.
Conclusion
In conclusion, a loopogram might not be a common topic of conversation, but it plays a crucial role in diagnosing certain gastrointestinal issues. If you ever need one, knowing what to expect can ease your anxiety. Remember to follow preparation and aftercare guidelines closely for the best results. Don't hesitate to ask your healthcare provider any questions you might have about the process. Understanding the loopogram can empower you to take charge of your health journey.