The double contrast enema in ulcerative and Crohn's colitis

Fraser, Gerald; Findlay, Jacqueline

doi:10.1016/s0009-9260(76)80030-x

Cited by 47 publications

(10 citation statements)

References 14 publications

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“…The diagnosis of CD is usually made on the basis of histopathologic [16,17], radiologic [22,23], endoscopic [18,21] and clini cal data [24,25], Endoscopy and radiology mainly show mucosal abnormalities, even if bowel wall thickness can be sometimes mea sured on plain film and contrast studies [28]. Abdominal ultrasonography can demon strate an increase in intestinal wall thickness and has been proposed as a simple, noninvasive method in CD, particularly as a possible screening procedure in cases in whom radiologic or endoscopic examinations are con traindicated [1,9] and in follow-up of pa tients.…”

Section: Discussionmentioning

confidence: 99%

“…In this group 89 subjects had a definite diagnosis of CD (35 with ileal disease, 33 with ileo colic and 21 with colonic location), 57 had UC and 35 were controls (table 1). A definite diagnosis of CD and UC had been established on the basis of histo logic [ 16,17], endoscopic [18][19][20][21], radiologic [22,23] and clinical criteria [24,25]. Activity of disease was mild in 80% of CD and 100% of UC and moderate in 20% of CD [26] and no patient, at the time of US examination, was taking corticosteroids.…”

Section: Methodsmentioning

confidence: 99%

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Ultrasonography in the Detection of Crohn’s Disease and in the Differential Diagnosis of Inflammatory Bowel Disease

et al. 1988

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The diagnostic accuracy of abdominal ultrasonography in inflammatory bowel disease (IBD) has been evaluated in a prospective, randomized, blind study. A total of 181 patients (89 with Crohn’s disease, 57 ulcerative colitis and 35 controls) were examined. Sensitivity and specificity of diagnosis in Crohn’s disease, corrected for prevalence, were 80.8 and 79.2%, respectively, and a very similar accuracy was found in the differential diagnosis of IBD. In conclusion, ultrasonography can play a role in detecting Crohn’s disease and in the differential diagnosis of chronic IBD.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Ultrasonography in the Detection of Crohn’s Disease and in the Differential Diagnosis of Inflammatory Bowel Disease

et al. 1988

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“…Failure to detect mild colitis radiologically was found in 18% of patients using a single contrast barium enema [6], compared to only 3.2% with a double contrast examination [9]. In one study where the sigmoidoscopic changes were graded and compared to single and double contrast examinations, mild sigmoidoscopic abnormalities were only detectable on the double contrast examination [10]. Therefore it must For a complete examination thorough bowel preparation is essential.…”

Section: Contrast Examinationsmentioning

confidence: 99%

Radiology in the current assessment of ulcerative colitis

Bartram

1976

Gastrointest Radiol

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Abstract. Plain abdominal radiography in acute ulcerative colitis is essential to detect acute colonic complications, such as acute dilatation and free perforation. Sealed perforations may not be detected. Useful information can be gained as to the extent and severity of the mucosal lesions, but can be unreliable so that a contrast examination is required. The double contrast barium enema is more accurate than the single contrast study in revealing the early mucosal lesions of colitis. It is the examination of choice to show the extent and severity of disease, and is of considerable value in the differential diagnosis of colitis. In active colitis, the unprepared double contrast barium enema is recommended. The success of the examination relies on the absence of fecal residue adjacent to an active mucosa. The technique, uses, and limitations of this type of examination are described.In the long-term management of colitis, the role of radiology is to show the presence of extensive disease, which indicates an increased risk of malignancy. Lesions such as strictures or polyps may be found and are more likely to be benign than malignant, but confirmation often requires endoscopic biopsy. In the search for malignancy regular barium enema examination is not recommended, as this can only reveal an overt tumor, whereas premalignancy can be detected histologically from an endoscopic biopsy.

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“…In some series endoscopy proved more reliable for assessment of inflammation than did radiography in a large proportion of cases [7][8][9][10]. Closer conformity is reported by other authors [11,12]. In two studies the findings of radiography and colonoscopy or rectoscopy correlated in roughly 95% of the cases [13,14].…”

mentioning

confidence: 57%

Extent of inflammatory lesions in ulcerative colitis assessed by radiology, colonoscopy, and endoscopic biopsies

Gabrielsson

Granqvist

Sundelin

et al. 1979

Gastrointest Radiol

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Radiography of the colon with double-contrast technique was performed directly after total colonoscopy with multiple biopsies in 50 patients with ulcerative colitis. In two-thirds of the series the inflammatory lesions were found to be more widespread at colonoscopy than on radiography. Signs of colitis in an even larger part of the bowel were found on examination of the biopsies in half of the cases. The distribution of characteristic inflammatory changes seen at colonoscopy was also studied. The frequency of the lesions was found to be relatively low in the rectum and highest in the descending and sigmoid parts of the colon.

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The double contrast enema in ulcerative and Crohn's colitis

Cited by 47 publications

References 14 publications

Ultrasonography in the Detection of Crohn’s Disease and in the Differential Diagnosis of Inflammatory Bowel Disease

Ultrasonography in the Detection of Crohn’s Disease and in the Differential Diagnosis of Inflammatory Bowel Disease

Radiology in the current assessment of ulcerative colitis

Extent of inflammatory lesions in ulcerative colitis assessed by radiology, colonoscopy, and endoscopic biopsies

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