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Idiopathic inflammatory bowel disease: endoscopic-radiologic correlation.
Radiology. 1995 Nov; 197(2):369-75.R

Abstract

PURPOSE

To assess the comparative and adjunctive diagnostic value of double-contrast barium enema examination (DCBE) and colonoscopy in cases of idiopathic inflammatory bowel disease.

MATERIALS AND METHODS

Radiographic and endoscopic findings were correlated, with use of a standardized evaluation sheet, in a prospective, blinded study in 99 patients with previously well-established Crohn disease of the colon (CD [ n = 51]) or ulcerative colitis (UC [n = 48]).

RESULTS

Overall, substantial to almost perfect agreement was found in more than 80% of scores with respect to the items of the standardized evaluation sheet in the colon segments depicted with both imaging modalities. Almost perfect agreement (kappa > 60%) was found for two essential diagnostic and differential diagnostic features: aphthoid erosions and fine granularity.

CONCLUSION

DCBE and colonoscopy are complementary imaging modalities for optimal detection of all mucosal and structural colon lesions, except inflammatory lesions without distortion of the mucosal relief and small numbers of inflamed superficial erosions and ulcers.

Authors+Show Affiliations

Department of Gastrointestinal Radiology and Hepatopancreatic Biliary Imaging, Academic Medical Center Amsterdam, The Netherlands.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

7480679

Citation

Dijkstra, J, et al. "Idiopathic Inflammatory Bowel Disease: Endoscopic-radiologic Correlation." Radiology, vol. 197, no. 2, 1995, pp. 369-75.
Dijkstra J, Reeders JW, Tytgat GN. Idiopathic inflammatory bowel disease: endoscopic-radiologic correlation. Radiology. 1995;197(2):369-75.
Dijkstra, J., Reeders, J. W., & Tytgat, G. N. (1995). Idiopathic inflammatory bowel disease: endoscopic-radiologic correlation. Radiology, 197(2), 369-75.
Dijkstra J, Reeders JW, Tytgat GN. Idiopathic Inflammatory Bowel Disease: Endoscopic-radiologic Correlation. Radiology. 1995;197(2):369-75. PubMed PMID: 7480679.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Idiopathic inflammatory bowel disease: endoscopic-radiologic correlation. AU - Dijkstra,J, AU - Reeders,J W, AU - Tytgat,G N, PY - 1995/11/1/pubmed PY - 1995/11/1/medline PY - 1995/11/1/entrez SP - 369 EP - 75 JF - Radiology JO - Radiology VL - 197 IS - 2 N2 - PURPOSE: To assess the comparative and adjunctive diagnostic value of double-contrast barium enema examination (DCBE) and colonoscopy in cases of idiopathic inflammatory bowel disease. MATERIALS AND METHODS: Radiographic and endoscopic findings were correlated, with use of a standardized evaluation sheet, in a prospective, blinded study in 99 patients with previously well-established Crohn disease of the colon (CD [ n = 51]) or ulcerative colitis (UC [n = 48]). RESULTS: Overall, substantial to almost perfect agreement was found in more than 80% of scores with respect to the items of the standardized evaluation sheet in the colon segments depicted with both imaging modalities. Almost perfect agreement (kappa > 60%) was found for two essential diagnostic and differential diagnostic features: aphthoid erosions and fine granularity. CONCLUSION: DCBE and colonoscopy are complementary imaging modalities for optimal detection of all mucosal and structural colon lesions, except inflammatory lesions without distortion of the mucosal relief and small numbers of inflamed superficial erosions and ulcers. SN - 0033-8419 UR - https://www.unboundmedicine.com/medline/citation/7480679/Idiopathic_inflammatory_bowel_disease:_endoscopic_radiologic_correlation_ DB - PRIME DP - Unbound Medicine ER -