Small-bowel enema - An underutilized method of small-bowel examination

Larry Gurian, John Jendrzejewski, Ronald Katon, Marcia Bilbao, Ray Cope, Clifford Melnyk

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

The results of 88 consecutive small-bowel enemas were compared retrospectively with the results of 52 routine small-bowel series and 50 barium enemas done in the same patients. Ninety-six percent of the diagnoses made by small-bowel enema were correct, as compared to only 65% made by routine small-bowel series. The incorrect studies were mostly false negatives and the abnormalities missed included regional enteritis, small-bowel obstruction, and intestinal lymphoma. The barium enema failed to achieve ileal reflux in 26% of patients and had a 23% false negative rate when reflux was achieved. Because small-bowel series as done by conventional methods was significantly less accurate, we believe small-bowel enema should be considered in patients with suspected small-bowel disease when other studies are negative.

Original languageEnglish (US)
Pages (from-to)1101-1108
Number of pages8
JournalDigestive diseases and sciences
Volume27
Issue number12
DOIs
StatePublished - Dec 1 1982

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

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