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Ulcerative and granulomatous colitis in children. Comparison of double- and single-contrast studies.
Radiology. 1985 Mar; 154(3):657-60.R

Abstract

The authors reviewed 49 double-contrast and 27 single-contrast barium-enema examinations (BE) in 71 children with suspected inflammatory bowel disease. The diagnosis was proved in 41 patients, of whom 36 underwent proctoscopy and 5 had advanced disease which was treated surgically within 3 to 30 days after BE; the other 30 children served as controls. BE and proctoscopy were compared with regard to sensitivity (detection of disease) and accuracy (categorization as ulcerative or granulomatous colitis). Sensitivity was 93% for double-contrast and 82% for single-contrast BE. Both detected all cases of advanced disease; in early disease, double-contrast BE detected 91% of cases and single-contrast BE 70%. Colitis was correctly categorized as ulcerative or granulomatous in 93% with double-contrast BE and 86% with single-contrast BE. Specificity within the control group was 100% with both techniques. The authors conclude that both types of BE exhibit similar sensitivity in advanced disease, but the double-contrast technique is more accurate in detecting early disease.

Authors

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Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

3969468

Citation

Winthrop, J D., et al. "Ulcerative and Granulomatous Colitis in Children. Comparison of Double- and Single-contrast Studies." Radiology, vol. 154, no. 3, 1985, pp. 657-60.
Winthrop JD, Balfe DM, Shackelford GD, et al. Ulcerative and granulomatous colitis in children. Comparison of double- and single-contrast studies. Radiology. 1985;154(3):657-60.
Winthrop, J. D., Balfe, D. M., Shackelford, G. D., McAlister, W. H., Rosenblum, J. L., & Siegel, M. J. (1985). Ulcerative and granulomatous colitis in children. Comparison of double- and single-contrast studies. Radiology, 154(3), 657-60.
Winthrop JD, et al. Ulcerative and Granulomatous Colitis in Children. Comparison of Double- and Single-contrast Studies. Radiology. 1985;154(3):657-60. PubMed PMID: 3969468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ulcerative and granulomatous colitis in children. Comparison of double- and single-contrast studies. AU - Winthrop,J D, AU - Balfe,D M, AU - Shackelford,G D, AU - McAlister,W H, AU - Rosenblum,J L, AU - Siegel,M J, PY - 1985/3/1/pubmed PY - 1985/3/1/medline PY - 1985/3/1/entrez SP - 657 EP - 60 JF - Radiology JO - Radiology VL - 154 IS - 3 N2 - The authors reviewed 49 double-contrast and 27 single-contrast barium-enema examinations (BE) in 71 children with suspected inflammatory bowel disease. The diagnosis was proved in 41 patients, of whom 36 underwent proctoscopy and 5 had advanced disease which was treated surgically within 3 to 30 days after BE; the other 30 children served as controls. BE and proctoscopy were compared with regard to sensitivity (detection of disease) and accuracy (categorization as ulcerative or granulomatous colitis). Sensitivity was 93% for double-contrast and 82% for single-contrast BE. Both detected all cases of advanced disease; in early disease, double-contrast BE detected 91% of cases and single-contrast BE 70%. Colitis was correctly categorized as ulcerative or granulomatous in 93% with double-contrast BE and 86% with single-contrast BE. Specificity within the control group was 100% with both techniques. The authors conclude that both types of BE exhibit similar sensitivity in advanced disease, but the double-contrast technique is more accurate in detecting early disease. SN - 0033-8419 UR - https://www.unboundmedicine.com/medline/citation/3969468/Ulcerative_and_granulomatous_colitis_in_children__Comparison_of_double__and_single_contrast_studies_ L2 - https://pubs.rsna.org/doi/10.1148/radiology.154.3.3969468?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -