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Double-contrast radiography: colonic inflammatory disease.
AJR Am J Roentgenol. 1981 Aug; 137(2):315-22.AA

Abstract

Double-contrast examination and proctosigmoidoscopy were performed in 240 patients with ulcerative colitis and 60 patients with granulomatous colitis. Both examinations were evaluated for accuracy of detection of disease, accuracy of classification of disease, and the ability of one examination to add information not gained by the other. Endoscopy was more sensitive than double-contrast examination in detection of disease of the distal colon and rectum in 18% of cases of ulcerative colitis and 17% of cases of granulomatous colitis. Double-contrast examination was more specific than proctosigmoidoscopy in differentiation of disease in cases of ulcerative colitis; endoscopy incorrectly classified 11% of cases as granulomatous colitis, and double-contrast examination misclassified only one case (less than 1%). Neither examination misclassified a case of granulomatous colitis as ulcerative colitis. Finally, double-contrast examination demonstrated disease proximal to the range of the proctosigmoidoscope of a greater severity than that seen endoscopically in 24% of patients with ulcerative colitis and 70% of patients with granulomatous colitis. Radiographic variations in disease presentation occasionally caused difficulty in classification. Double-contrast examination and proctosigmoidoscopy are complementary, and both should be used in evaluating patients with inflammatory disease of the colon.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

6789639

Citation

Williams, H J., et al. "Double-contrast Radiography: Colonic Inflammatory Disease." AJR. American Journal of Roentgenology, vol. 137, no. 2, 1981, pp. 315-22.
Williams HJ, Stephens DH, Carlson HC. Double-contrast radiography: colonic inflammatory disease. AJR Am J Roentgenol. 1981;137(2):315-22.
Williams, H. J., Stephens, D. H., & Carlson, H. C. (1981). Double-contrast radiography: colonic inflammatory disease. AJR. American Journal of Roentgenology, 137(2), 315-22.
Williams HJ, Stephens DH, Carlson HC. Double-contrast Radiography: Colonic Inflammatory Disease. AJR Am J Roentgenol. 1981;137(2):315-22. PubMed PMID: 6789639.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double-contrast radiography: colonic inflammatory disease. AU - Williams,H J,Jr AU - Stephens,D H, AU - Carlson,H C, PY - 1981/8/1/pubmed PY - 2001/3/28/medline PY - 1981/8/1/entrez SP - 315 EP - 22 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol VL - 137 IS - 2 N2 - Double-contrast examination and proctosigmoidoscopy were performed in 240 patients with ulcerative colitis and 60 patients with granulomatous colitis. Both examinations were evaluated for accuracy of detection of disease, accuracy of classification of disease, and the ability of one examination to add information not gained by the other. Endoscopy was more sensitive than double-contrast examination in detection of disease of the distal colon and rectum in 18% of cases of ulcerative colitis and 17% of cases of granulomatous colitis. Double-contrast examination was more specific than proctosigmoidoscopy in differentiation of disease in cases of ulcerative colitis; endoscopy incorrectly classified 11% of cases as granulomatous colitis, and double-contrast examination misclassified only one case (less than 1%). Neither examination misclassified a case of granulomatous colitis as ulcerative colitis. Finally, double-contrast examination demonstrated disease proximal to the range of the proctosigmoidoscope of a greater severity than that seen endoscopically in 24% of patients with ulcerative colitis and 70% of patients with granulomatous colitis. Radiographic variations in disease presentation occasionally caused difficulty in classification. Double-contrast examination and proctosigmoidoscopy are complementary, and both should be used in evaluating patients with inflammatory disease of the colon. SN - 0361-803X UR - https://www.unboundmedicine.com/medline/citation/6789639/Double_contrast_radiography:_colonic_inflammatory_disease_ L2 - https://www.ajronline.org/doi/10.2214/ajr.137.2.315 DB - PRIME DP - Unbound Medicine ER -