Fistulogram is a specialized diagnostic procedure that employs X-rays to evaluate and image fistulas. Fistulas are abnormal connections between two body parts, such as organs, vessels, or intestines, which usually do not connect. They can occur anywhere in the body, but are commonly found in the areas around the anus and intestines. Fistulogram helps doctors to understand the size, path, and characteristics of the fistula, which is essential for determining the most effective treatment plan.
Note: Home Sample Collection is only for Pathology lab tests.
Fasting: Usually, no fasting is required. However, your doctor will provide specific instructions if necessary based on the location of the fistula.
Medications: Inform your doctor about any medications, vitamins, or supplements you are taking, especially if you are on blood thinners or have a history of allergic reactions to contrast materials.
Allergies: If you have any allergies, particularly to iodine or X-ray contrast materials, inform your doctor as this is crucial information for the procedure.
Clothing: Wear comfortable clothing. You may be asked to change into a hospital gown. Remove any metal objects, such as jewelry, which might interfere with the X-ray images.
Consent Form: Before the procedure, you will need to sign a consent form after your doctor explains the risks and benefits of the fistulogram.
You will be positioned on an X-ray table, either lying down or sitting, depending on the location of the fistula.
The area around the fistula will be cleaned and draped.
A contrast dye will be injected into the fistula using a small catheter. This dye helps to highlight the fistula on the X-ray images.
Several X-ray images will be taken to track the contrast material as it flows through the fistula.
The procedure usually takes about 30-60 minutes, depending on the complexity of the fistula.
You will be monitored for a short time for any immediate allergic reaction to the contrast material.
The entry site of the catheter is cleaned and bandaged.
You may be advised to keep the site dry for a specific period.
Your doctor will inform you when the results will be ready and discuss the findings with you.
Fistulogram helps in diagnosing the presence of fistulas, determining their path, size, and characteristics. This information is vital for the doctor to decide the most appropriate treatment plan.
You may feel slight discomfort or pressure when the catheter is inserted and the contrast material is injected. However, the procedure is generally well tolerated.
The risks associated with a fistulogram include allergic reactions to the contrast material, infection, and bleeding. However, these are rare and the benefits usually outweigh the risks.
There is usually no special preparation needed for a fistulogram. However, it’s important to inform your doctor about any medications you’re taking and any allergies you have.
Yes, as no sedation is generally involved, you should be able to drive yourself home after the procedure.
The results of a fistulogram are usually available within a few days. Your doctor will discuss the findings with you and explain the next steps if any intervention is needed.
Treatment for fistulas varies depending on their location and complexity. Some fistulas may require antibiotics, while others might necessitate surgical intervention.
After the procedure, keep the catheter entry site clean and dry for the period specified by your doctor. If you experience any unusual symptoms such as fever, redness, or drainage at the site, contact your doctor.
If there are abnormal findings from the fistulogram, you should consult the doctor who referred you for the test. Depending on the fistula’s location, you may need to see a specialist such as a gastroenterologist or a surgeon.
Maintaining a healthy lifestyle, managing chronic conditions, and following your doctor's advice regarding any underlying diseases can help in preventing fistulas.
A fistulogram is an important diagnostic tool for understanding and treating fistulas. It is a relatively quick procedure that can provide valuable information to your healthcare team. While the thought of undergoing a fistulogram might be anxiety-inducing, knowing what to expect and how to prepare can help alleviate some of those concerns. Always communicate openly with your doctor regarding any questions or concerns you might have regarding the procedure.