Guerre J, Ghazzi H, Ledoux-Lebard G, Fauvin D, Eugene C, Warnet-Duboscq J, Pergola F
Nouv Presse Med. 1979 Mar 10;8(11):839-42.
Double contrast barium enema and colonoscopy are great value in the diagnosis of lesions of the colon, especially polyps. This study involved 73 patients. The results were in agreement in 71,2% of cases and disagreed in 23,3%. In 5,5%, colonoscopy was technically inadequate. Classical barium enema remains indicated for the detection of carcinoma or in elderly or bedridden individuals. By contrast, barium enema should be replaced by double contrast study in the aetiological evaluation of rectal bleeding. In our own series, the diagnosis was positive in 92% of cases as long as both the radiological and endoscopic techniques were used.
双重对比钡灌肠和结肠镜检查在结肠病变尤其是息肉的诊断中具有重要价值。本研究纳入了73例患者。结果在71.2%的病例中一致,在23.3%的病例中不一致。在5.5%的病例中,结肠镜检查在技术上不充分。经典钡灌肠仍适用于检测癌症或用于老年人或卧床患者。相比之下,在直肠出血的病因学评估中,钡灌肠应被双重对比研究取代。在我们自己的系列研究中,只要同时使用放射学和内镜技术,92%的病例诊断为阳性。