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 Citations (Scopus)

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 1982

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Enema
Intestinal Obstruction
Crohn Disease
Lymphoma
Barium Enema

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Small-bowel enema - An underutilized method of small-bowel examination. / Gurian, Larry; Jendrzejewski, John; Katon, Ronald; Bilbao, Marcia; Cope, Ray; Melnyk, Clifford.

In: Digestive Diseases and Sciences, Vol. 27, No. 12, 12.1982, p. 1101-1108.

Research output: Contribution to journalArticle

Gurian, L, Jendrzejewski, J, Katon, R, Bilbao, M, Cope, R & Melnyk, C 1982, 'Small-bowel enema - An underutilized method of small-bowel examination', Digestive Diseases and Sciences, vol. 27, no. 12, pp. 1101-1108. https://doi.org/10.1007/BF01391448
Gurian, Larry ; Jendrzejewski, John ; Katon, Ronald ; Bilbao, Marcia ; Cope, Ray ; Melnyk, Clifford. / Small-bowel enema - An underutilized method of small-bowel examination. In: Digestive Diseases and Sciences. 1982 ; Vol. 27, No. 12. pp. 1101-1108.
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