Having an MRI Scan of the Small Bowel (MRI Enterogram)

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1 Having an MRI Scan of the Small Bowel (MRI Enterogram) Department of Radiology Information for Patients i Radiology Leaflet No. 73

2 Contents Page number Introduction 3 What is an MRI scan? 3 Information for patients with diabetes 3 Important safety information 4 How to prepare for the MRI scan 5 What happens during the MRI scan? 5 How long will it take? 6 What happens after the examination? 6 How do I get the results? 7 Risks and benefits 7 Support for people with learning difficulties 8 Other sources of information 8 Additional hospital information 9 2

3 Introduction If you are an outpatient please read your appointment letter carefully to check which hospital you must attend for your appointment. Your doctor has requested that you have a Magnetic Resonance Imaging (MRI) Scan. What is an MRI scan? MRI is a test which uses a powerful magnet and a computer to produce detailed images of any part of the body. The MRI scanner does not use x-rays. Information for patients with diabetes If you are a patient with diabetes please speak to your normal diabetes care provider about the eating / drinking instructions in this leaflet. You should have received a morning appointment. If you have not, please contact the Radiology Department. It may be that we are not aware that you are diabetic. 3

4 Important safety information Before you have an MRI scan it is essential that we are 100% certain that you do not have a pacemaker. You must tell us, by phoning the number on your appointment letter, if you have any of the following. If you have a pacemaker, or have ever had any heart surgery If you have ever had any metal fragments in your eyes If you have any implants or surgical clips in your body or head If you have ever had an operation on your head, eyes, ears, heart or chest If you are diabetic If there is any chance you could be pregnant If you are breast feeding If you have a cochlear implant If you have had an operation in the last six weeks If you have an allergy to sugar or carob bean gum If you have an endoscopy appointment within the next 24 to 48 hours. If you have been sent a safety questionnaire with your appointment letter please fill it in and follow the instructions in the appointment letter and questionnaire. Before the scan you will need to remove all loose metal objects, including your watch, money, credit cards, keys, all jewellery, hair clips, wigs or hair pieces and any eye makeup. 4

5 How to prepare for the MRI scan On the day of your examination: Do not eat anything for 4 hours before your examination; however you may continue to drink clear fluids. What happens during the MRI scan? On arrival at the Radiology Department you will be directed to the MRI scanner where the radiographer or assistant practitioner will go through the questionnaire with you. The examination will be explained and you may ask any questions that you have. This scan is to examine your bowel, in order to do this you will be given a drink of a clear liquid (approximately 1 litre) which will help us to see the small bowel better on the scan. This is called oral contrast and you will be asked to drink it slowly over 1 hour. This liquid is also a mild laxative. If you are wearing clothes with metal clips or zips you will then be asked to change into a gown. You will then be taken into the scan room and asked to lie down on the scanner table which is moved into the magnet. During the scanning you will hear a rhythmic tapping sound which may become quite loud. This is normal. You will be given headphones or earplugs to protect your ears from the noise. The radiographer operating the scanner can see you throughout the scan. You will be given a call button to alert the staff if you need to speak to them during the scan. For some scans it will be necessary for you to hold your breath several times during the examination. The radiographer will tell you when to do this. If you have any difficulties holding your breath for short periods (about 20 seconds) please tell the staff on arrival. 5

6 What happens during the MRI scan? (continued) An injection of a contrast agent (a colourless liquid that shows up on the scan) into a vein in your arm is often necessary to show more information on the scan. The supervising radiologist (specialist imaging doctor) will decide if this is necessary on the day and will keep you fully informed. You may also be given an injection to relax the muscles of the bowel for a short time (called Buscopan). This improves the pictures but may make your eyesight blurred. This should pass after about 30 minutes. How long will the scan take? An MRI scan usually takes between 20 and 40 minutes. The time will vary for each patient. What happens after the examination? You should have no after effects from this examination. You may eat and drink normally after the examination and you should then be free to return to work / normal daily life. You may have some diarrhoea as a result of the oral contrast drink. Do not drive if your eyesight has become blurred. Eye symptoms: if you experience any pain in your eyes in the next 24 hours (this is very rare), please go to eye casualty immediately and show them this leaflet or the after-care sheet you may have been given after the scan. 6

7 How do I get the results? The results will not be given to you immediately. Your MRI scan pictures will be studied by a radiologist and the results will be sent to the consultant or GP who referred you for this examination. If you are an inpatient when you come for the scan the results will be given to the doctors looking after you on the ward. An explanation of how to get your results will be given to you after your examination. Risks and benefits If you were given an injection of Buscopan to relax the bowel muscles, the muscles of your eyes may have relaxed as well as the muscles of your bowel. This may cause a blurring of vision in some patients. If you are affected, we advise you do not drive until it has returned to normal (about half an hour). No short term harmful effects have been found from MRI scans. The use of magnetic fields is not thought to be harmful; however long term side effects are unknown. There is a very small risk of side effects from the injection of contrast agent but this is extremely rare. These are usually mild and may include a metallic taste in the mouth, itchy skin, pain at the injection site and feeling light headed. Headache and chest pain are rare. If you do experience any side effects please tell the MRI staff immediately. 7

8 Support for people with learning disabilities There is support available in our hospitals for patients with learning disabilities. Please contact the learning disability specialist nursing team on (0116) telling them when the appointment is and what examination has been booked. Other sources of information Websites: For general information about radiology departments visit the Royal College of Radiologists website: ww.goingfora.com Please note that the views expressed in this website, does not necessarily reflect the views of UHL or the NHS. University Hospitals of Leicester website: NHS Direct: For health advice or information you can call NHS on:

9 Additional hospital information How was it for you? If you wish to make any comments or suggestions regarding your visit to the Radiology Department please fill in a suggestion form or speak to a member of staff. Suggestion forms are located in all waiting areas within the department. University Hospitals of Leicester NHS Trust also has a Patient Information and Liaison Service (PILS), and you are welcome to contact them on: Freephone: pils.complaints.compliments@uhl-tr.nhs.uk We review our information leaflets on a regular basis. If you have any comments about how we can improve these leaflets please speak to a member of staff. 9

10 Additional hospital information (continued) Directions and parking For information about getting to the hospital please see the hospitals website: Hospital car parking is available to all hospital patients and visitors. Spaces are limited so please allow plenty of time to find a car parking space. Parking charges are payable, please check tariff boards or the hospital website for full details. As well as the hourly rates there are a range of saver tickets available for patients and prime carers. Dedicated disabled parking bays are also available. Marked disabled bays exist outside of the public car parks for which there is no charge. If you park in the car parks the fee will apply. Drop off bays exist at the main entrances, these bays have a 20 minutes maximum stay. Certain qualifying benefits as notified by the Department of Social Security entitle the patient to free or reduced parking. For more information contact the Cashiers office. Bus services to the hospital Our aim is to ensure that there are car parking spaces available for those who really need to use them. We encourage you to use public transport or walk to the hospital if you are fit and well. For information on bus routes and times contact Traveline on The hospital Hopper service runs from Monday to Friday, every 30 min from 06:30 hours until 18:00 hours and every hour from 18:00 hours until 21:00 hours. The Hopper stops at our three hospital sites, as well as other key locations such as Leicester train station, Beaumont Leys centre and Hamilton centre and also St Nicholas circle. 10

11 Additional hospital information (continued) Relatives and escorts You may wish to bring a friend or relative to accompany you to and from the Radiology Department when you have your examination although they may not always be allowed into the examination room. This may be useful if you do not understand English very well or if you have any special needs. Children Baby changing facilities are available. Please ask to be shown to them if you wish to use them. We are unable to offer childcare facilities. If you need to bring your children with you, please bring along an adult who can supervise them whilst your examination is being carried out. Radiology staff are not able to supervise your children. Facilities available: Refreshments: Refreshments including hot and cold drinks are available in the hospital. Please ask a member of staff for directions. Shops: Each hospital contains a shop selling magazines, newspapers, sweets and drinks. Please ask a member of staff for directions. This leaflet has been produced with reference to guidelines from the Royal College of Radiologists. 11

12 Leaflet Produced: November 2016 Next Review: November 2021 (Mear) - Radiology CSI CMG Edition 8 - IMA Today s research is tomorrow s care We all benefit from research. Leicester s Hospitals is a research active Trust so you may find that research is happening when you visit the hospital or your clinic. If you are interested in finding out how you can become involved in a clinical trial or to find out more about taking part in research, please speak to your clinician or GP. If you would like this information in another language or format, please contact the service equality manager on

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