Prospective comparison of double-contrast barium meal examination and fibreoptic endoscopy in acute upper gastrointestinal haemorrhage.
Fibre-optic endoscopy was compared prospectively with double-contrast radiology in 53 consecutive patients admitted with acute gastrointestinal haemorrhage. The bleeding site was correctly identified by endoscopy in 94% of patients and the final diagnosis was correctly given in 89%. The corresponding figures with radiology were 83% and 74%. Among the 50 patients with a final diagnosis of a bleeding site in the upper gastrointestinal tract endoscopy indicated the site of bleeding in all and radiology indicated it in 88%. Both investigations were well tolerated by patients. Endoscopy is the investigation of choice, but when it is not available double-contrast radiology will show the site of bleeding in 80-90% of patients.
D000368:Aged; D001466:Barium Sulfate; D003287:Contrast Media; D004378:Duodenal Diseases / Q000175:diagnosis; D004724:Endoscopy; D004935:Esophageal Diseases / Q000175:diagnosis; D005336:Fiber Optic Technology; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011859:Radiography; D013272:Stomach Diseases / Q000175:diagnosis
D003287:Contrast Media; D001466:Barium Sulfate