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Double contrast barium enema in Crohn's disease and ulcerative colitis.
AJR Am J Roentgenol. 1978 Aug; 131(2):207-13.AA

Abstract

Double contrast barium enema examinations in 24 patients with Crohn's disease of the colon and 29 patients with ulcerative colitis were reviewed without knowledge of the clinical diagnosis. The radiologic diagnosis of Crohn's disease agreed with the clinical diagnosis in 98% of patients. In this condition the most common radiologic findings were discontinuous or asymmetric disease (88%) and discrete ulcers (67%) often on a normal mucosa. The latter are characteristic of early Crohn's disease and may enable the radiologist to be the first to suggest the diagnosis, particularly when both sigmoidoscopy and small bowel examination are normal. Of the patients with ulcerative colitis, a positive radiologic diagnosis was made in 83% on the basis of a granular mucosal pattern (79%) and continuous distal involvement (86%). The high accuracy of the double contrast technique, especially in Crohn's disease, and the relative specificity of the signs that it can demonstrate suggest that this is the preferred examination in the radiologic evaluation of inflammatory bowel disease.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

97995

Citation

Kelvin, F M., et al. "Double Contrast Barium Enema in Crohn's Disease and Ulcerative Colitis." AJR. American Journal of Roentgenology, vol. 131, no. 2, 1978, pp. 207-13.
Kelvin FM, Oddson TA, Rice RP, et al. Double contrast barium enema in Crohn's disease and ulcerative colitis. AJR Am J Roentgenol. 1978;131(2):207-13.
Kelvin, F. M., Oddson, T. A., Rice, R. P., Garbutt, J. T., & Bradenham, B. P. (1978). Double contrast barium enema in Crohn's disease and ulcerative colitis. AJR. American Journal of Roentgenology, 131(2), 207-13.
Kelvin FM, et al. Double Contrast Barium Enema in Crohn's Disease and Ulcerative Colitis. AJR Am J Roentgenol. 1978;131(2):207-13. PubMed PMID: 97995.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double contrast barium enema in Crohn's disease and ulcerative colitis. AU - Kelvin,F M, AU - Oddson,T A, AU - Rice,R P, AU - Garbutt,J T, AU - Bradenham,B P, PY - 1978/8/1/pubmed PY - 1978/8/1/medline PY - 1978/8/1/entrez SP - 207 EP - 13 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol VL - 131 IS - 2 N2 - Double contrast barium enema examinations in 24 patients with Crohn's disease of the colon and 29 patients with ulcerative colitis were reviewed without knowledge of the clinical diagnosis. The radiologic diagnosis of Crohn's disease agreed with the clinical diagnosis in 98% of patients. In this condition the most common radiologic findings were discontinuous or asymmetric disease (88%) and discrete ulcers (67%) often on a normal mucosa. The latter are characteristic of early Crohn's disease and may enable the radiologist to be the first to suggest the diagnosis, particularly when both sigmoidoscopy and small bowel examination are normal. Of the patients with ulcerative colitis, a positive radiologic diagnosis was made in 83% on the basis of a granular mucosal pattern (79%) and continuous distal involvement (86%). The high accuracy of the double contrast technique, especially in Crohn's disease, and the relative specificity of the signs that it can demonstrate suggest that this is the preferred examination in the radiologic evaluation of inflammatory bowel disease. SN - 0361-803X UR - https://www.unboundmedicine.com/medline/citation/97995/Double_contrast_barium_enema_in_Crohn's_disease_and_ulcerative_colitis_ L2 - https://www.ajronline.org/doi/10.2214/ajr.131.2.207 DB - PRIME DP - Unbound Medicine ER -