How is a standard Sitz marker study performed?
Usual protocol, we administer 1 sitzmark capsule containing 24 ring markers and patient has x-ray at 120 hours. Abnormal transit is >20% retention of markers usually 6 or more. Report should mention total markers remaining, their location, right colon, left colon or rectosigmoid region. This is standard clinical protocol.
Can you name all the hardware? Is this a call report?
Supine radiograph of the abdomen demonstrates a nonobstructive bowel gas pattern with gas and a moderate stool burden demonstrated throughout the colon.
Radiodense circular Sitz markers are identified throughout the small bowel and colon in the following distribution: 3 within the small bowel, 3 at the splenic flexure, 3 within the left
colon, and 11 within the sigmoid colon.
Cholecystectomy clips are demonstrated in the right upper quadrant.
A sacral InterStim unit is overlying the right iliac crest, with lead traversing the left S1 foramen and lead tip projecting lateral to S2.
Incidentally demonstrated within the small bowel is a Bravo single-channel pH sensor; patient had undergone a pH monitoring study 3 days ago.
Mild degenerative changes of the sacrum are present.
IMPRESSION:
Non-obstructive bowel gas pattern with Sitz markers in small bowel and colon as described above.