Gastrointestinal Radiology > Procedures > Barium Enema > Policy

Policy on Doing Barium Enemas Following
Sigmoidoscopy or Colonoscopy with or without Biopsy

Based on our experience and the relevant literature, the following is Department of Radiology policy:
  1. Barium enemas will be performed no earlier than the next day following proctoscopy or colonoscopy without biopsy.

  2. Barium enemas will be done no earlier than 48 hours after rectal or colonic biopsy through a fiberoptic endoscope. 

  3. Barium enemas will be done no earlier than 6 days after biopsy through a rigid proctoscope or sigmoidoscope. The only exception will be when the pathologist evaluating the specimen is able to confirm that the biopsy did not penetrate the muscularis propria; then a barium enema may be performed as early as 48 hours after the biopsy.

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