The use of ioxaglate in the paediatric gastrointestinal tract: a report of 25 cases.

There are recognised dangers in the use of either barium sulphate suspensions or the conventional hypertonic water-soluble contrast media in the gastrointestinal tract which can be avoided by the use of water-soluble contrast media isosmolar with plasma. This paper reports the satisfactory use of ioxaglate (Hexabrix) in solutions with osmolality of 290 mosmol/kg (160 mg I/ml) and it is proposed that isosmolar water-soluble contrast media could be usefully used in all at-risk children. In one case with hypertrophic pyloric stenosis there was no delay in the passage of isosmolar ioxaglate through the hypertrophied pylorus.