Gurian L, Jendrzejewski J, Katon R, Bilbao M, Cope R, Melnyk C
Dig Dis Sci. 1982 Dec;27(12):1101-8. doi: 10.1007/BF01391448.
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.
对连续88例小肠灌肠的结果与同一批患者进行的52例常规小肠造影和50例钡剂灌肠的结果进行了回顾性比较。小肠灌肠做出的诊断96%是正确的，而常规小肠造影仅为65%。错误的检查大多为假阴性，漏诊的异常包括局限性肠炎、小肠梗阻和肠道淋巴瘤。钡剂灌肠在26%的患者中未能实现回肠反流，在实现反流时假阴性率为23%。由于传统方法进行的小肠造影准确性明显较低，我们认为当其他检查为阴性时，怀疑有小肠疾病的患者应考虑进行小肠灌肠。
