小肠是一个难以进行检查的器官,因内窥镜不易进入,例行的造影亦往往显示得不够满意,且小肠的形态复杂多变,故检查必需细致完善才能排除病变的存在。近年来,通过十二指肠插管的小肠钡剂灌肠检查已广泛应用,采用Bilbao等设计的导管可使导管迅速进入十二指肠。本文介绍1973～1978年6年期间807例350次小肠钡剂灌肠检查的经验,并与常规方法进行比较,阐述此种检查的优点。方法:350次小肠钡剂灌肠均采取十二指肠插管。静注10mg胃复安(Metoclopramide)可使插管更为容易。由导管先引入150ml厚钡(Micropaque),随即灌 Small intestine is a difficult organ to be inspected, because endoscope is not easy to enter, routine radiography often shows unsatisfactory, and the shape of small intestine is complex and changeable, so the examination must be carefully and consummate to rule out the existence of the lesion. In recent years, the small intestine through the duodenum enema barium enema examination has been widely used, such as the catheter designed by Bilbao catheter can quickly enter the duodenum. This article describes the experience of 807 patients with 350 small bowel enemas during the six-year period from 1973 to 1978 and compares them with conventional methods to illustrate the advantages of such an examination. Methods: 350 small intestine barium enema were taken duodenal intubation. Intravenous Metoclopramide 10mg makes intubation easier. Introduced by the catheter 150ml thick barium (Micropaque), then irrigation