Barium enema versus colonoscopy for patients with polyps found during flexible sigmoidoscopy.

Abstract:

:This prospective study compares the accuracy of barium enema examination performed by experienced radiologists to colonoscopy performed by experienced gastroenterologists blinded to the radiographic findings to detect proximal, synchronous lesions in patients with polyps detected during fiberoptic sigmoidoscopy. Three thousand six patients were examined, of whom 147 (5%) had polyps larger than 0.5 cm in diameter. Of 114 patients who completed the protocol, 46 patients (40%) had synchronous, proximal colonic lesions. There were no radiographic false positives, but the single-contrast barium enema missed polyps in 13 while detecting polyps in 2 patients (sensitivity = 13%). The double-contrast barium enema missed proximal polyps in 23 patients while detecting them in 8 (sensitivity = 26%). We conclude that patients with neoplastic polyps found during fiberoptic sigmoidoscopy should have colonoscopy without barium enema. If the entire colon cannot be examined at colonoscopy, we advise double-contrast barium enema.

journal_name

Gastrointest Endosc

authors

Norfleet RG,Ryan ME,Wyman JB,Rhodes RA,Nunez JF,Kirchner JP,Parent K

doi

10.1016/s0016-5107(91)70822-5

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

531-4

issue

5

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(91)70822-5

journal_volume

37

pub_type

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