Paralytic ileus is a disorder of intestinal motility without
mechanical obstruction, causing cessation of peristalsis and accumulation of gas
and fluid in the intestines. Abdominal radiography (BNO) plays an important role
in detecting this condition through the visualization of gas distribution. Method:
This study used a descriptive qualitative approach through observation,
interviews, and documentation. Purpose: The study aimed to determine the
management of BNO radiographic examinations in patients with suspected
paralytic ileus at the Radiology Department of TK. II Prof. dr. J. A. Latumeten
Hospital Ambon. Results: The examination was performed using three main
projections: AP supine, AP semi-upright, and Left Lateral Decubitus (LLD),
without special preparation except for removing metallic objects. The main
obstacles included uncooperative patients, abdominal pain, and obesity, which
made positioning difficult. Overall, the radiographic results met diagnostic quality
standards, showing abnormal gas distribution as an indication of paralytic ileus.
Conclusion: The management of BNO radiographic examinations for suspected
paralytic ileus at TK. II Prof. dr. J. A. Latumeten Hospital has been carried out
according to standard operating procedures (SOP), using three main projections.
Cooperation among radiographers, patients, and radiologists plays a crucial role in
the success of the examination, despite technical challenges such as patient
positioning limitations due to pain