Detection of colonic polyps on single-contrast barium enema study: emphasis on the elderly.

Abstract:

:A systems approach was employed to improve results of the single-contrast barium enema examination for detection of colonic polyps. Improvements were made in each of the following areas: radiographic-fluoroscopic equipment, fluoroscopic-television images, screen-film combinations, barium suspensions, examination techniques, imaging sequences, and quality controls. Radiologic-endoscopic correlation was undertaken for 137 colonic polyps seen endoscopically in 91 patients. The average age of the patients was 69 years. The sensitivity of the single-contrast examination for detection of all polyps was 80%. Polyps 5-9 mm in size were detected with 66% sensitivity, while 94% of polyps 10 mm or larger were detected. The results indicate that the sensitivity of a suitably performed single-contrast barium enema examination may approach that of the double-contrast study for the detection of colonic polyps, even in an elderly and infirm patient population.

journal_name

Radiology

journal_title

Radiology

authors

Gelfand DW,Chen YM,Ott DJ

doi

10.1148/radiology.164.2.3602370

subject

Has Abstract

pub_date

1987-08-01 00:00:00

pages

333-7

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

164

pub_type

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