Fluorscopy

These procedures are offered at all three hospitals locations.  The procedures require an examination by the radiologist with a fluoroscope, a “live” x-ray which allows observation of portions of the body which may not be satisfactorily evaluated by static or plain x-rays.

Common procedures include upper gastrointestinal series (UGI) for the esophagus, stomach, and duodenum, or barium enema (BE) for the colon.

Myelograms are performed by injecting a water soluble fluid into the cerebrospinal fluid (CSF) in the spine and taking x-rays.  Arthrograms for the wrists, shoulders, knees, ankles, and elbows require fluoroscopy to guide contrast injection into the joints.

Hysterosalpingograms (HSG) evaluate the female reproductive tract and require fluoroscopic observation for optimal performance and safety.

Preparation

UGI and BE require restricting intake of fluids and food beginning at midnight prior to the exam. Check with the department performing the exam for other preparation for BE the evening prior to the exam.

If both UGI and BE have been requested, performing the BE first, then the UGI 48 hours later is recommended for the best exams.

Arthrograms and HSG require no preparation, although HSG should be performed 10 days or less following the first day of the last menstrual period.

Hysterosalpingogram (HSG)

These procedures are offered at Houston Northwest Medical Center Hospital, Cypress Fairbanks Hospital, and CAT Scan Center (Woodlands Office). Fee is sometimes covered by insurance.

This is an x-ray of the female's cervix, uterus and fallopian tubes done in order to determine if both fallopian tubes are open. The test is done much like a pelvic examination where a small tube is inserted into the cervical canal. Then contrast fluid is injected and several x-rays are taken as the material flows through the uterus, tubes and into the pelvis. This test is usually done on CYCLE DAY 8-10, but should be performed by the cycle day 10.

Please follow these instructions:

• Please notify the referring physician's nurse ahead of time, as the test is performed at the x-ray department and she will need time to schedule it for you.
• The HSG is scheduled in the afternoon only. (Please make any necessary arrangements for time off at your place of business.)
• Preparation involves using glycerin rectal suppository morning of the test (may be purchased without prescription at pharmacy).
• Preparation also involves taking an oral antibiotic the day before, the day of, and the day after the test. The referring physician's office nurse will need your pharmacy phone number to call in your prescription or to mail the prescription directly to you.
• Some women experience heavy cramping that can last several hours. You may need to get your partner or a friend to drive you home. You should be able to return to work the next day.
• Please bring a sanitary napkin with you, as a little spotting is normal after examination.
• Results are usually available one-two (1-2) days after the exam. Call the referring physician's office for the results.