Future of Double Contrast Barium Enema in Question
In a Study by Ferrucci JT, Double-contrast barium enema: use in practice and implications for CT colonography in AJR Am J Roentgenol 2006 Jul;187(1):170-3
"This study examines the use and yield of double-contrast barium enemas (DCBEs) for colorectal polyp detection in current clinical practice outside the research setting. A total of 244 out of 665 (36.7%) barium enema studies were performed using the double-contrast technique over the 4-year period-that is, approximately one per week. The most common indication for a DCBE (109/244 or 44.6%) was to complete a failed, incomplete, or inconclusive colonoscopy.Overall, only 14 of the 244 (5.7%) studies gave positive reports for polyps, and of these, five were shown to be false-positive at later colonoscopy. Only six polyps 10 mm or larger were positively detected during the entire study, which is approximately one per 60 studies or one every 8 months
Authors concluded that in their centre a DCBE is a low-yield procedure for detecting polyps, with a high false-positive rate, and is not likely to be performed by experienced practitioners in the future."
Future of Double Contrast Barium Enema in Question Reviewed by Sumer Sethi on Monday, July 03, 2006 Rating: