Bender G N, Peller T, Tsuchida A, Kelley J L
Department of Radiology, Madigan Army Medical Center, Fort Lewis, Tacoma, Washington 98431-5000, USA.
Invest Radiol. 1995 Jun;30(6):329-33. doi: 10.1097/00004424-199506000-00001.
The financial restrictions of the managed care environment require reconsideration of the barium upper gastrointestinal examination as a diagnostic tool for gastritis patients. However, a greater sensitivity and specificity for gastritis is needed. A prospective study was performed comparing barium examinations with gastric biopsies to endoscopy with biopsy.
Forty adult patients underwent upper gastrointestinal barium examination with gastric biopsies obtained under fluoroscopy through a nasogastric tube. Twenty-seven patients gave consent for subsequent endoscopy with biopsy. Both sets of biopsies were compared, as were the interpretations of the radiographs and visual appearances.
For barium examinations with gastric biopsies, sensitivity for gastritis was 94% and specificity was 100%, using endoscopic biopsies as the gold standard.
In addition to endoscopy with biopsy, the upper gastrointestinal barium examination with biopsy is another option of sufficient sensitivity and specificity for consideration by clinicians in their workup of patients with gastritis.
管理式医疗环境的经济限制要求重新审视钡剂上消化道检查作为胃炎患者诊断工具的作用。然而，对于胃炎需要更高的敏感性和特异性。进行了一项前瞻性研究，将钡剂检查加胃活检与内镜检查加活检进行比较。
40例成年患者接受了上消化道钡剂检查，并在透视引导下通过鼻胃管获取胃活检标本。27例患者同意随后进行内镜检查加活检。对两组活检标本进行了比较，同时也比较了X线片的解读结果和视觉表现。
以内镜活检为金标准，钡剂检查加胃活检对胃炎的敏感性为94%，特异性为100%。
除了内镜检查加活检外，钡剂上消化道检查加活检也是一种敏感性和特异性足够的选择，可供临床医生在对胃炎患者进行检查时考虑。
