Detailed per-oral small bowel examination vs. enteroclysis. Part II: Radiographic accuracy.
Accuracy of the detailed per-oral small bowel series and enteroclysis was compared in 134 patients known to have (or not have) disease of the small bowel. Overall sensitivity of the per-oral examination was 92% and specificity 94%, compared to 94% and 89%, respectively, for enteroclysis. There was no difference between the two in Crohn disease, adhesions, and metastatic disease; however, enteroclysis was thought to be more effective in delineating peritoneal adhesions in patients with obstruction. The authors conclude that while the per-oral study and enteroclysis are equally valid methods of examining the small bowel, the per-oral study is preferable as a screening examination because it requires less time, has fewer side effects, and involves a lower radiation exposure.
D003424:Crohn Disease / Q000000981:diagnostic imaging; D005069:Evaluation Studies as Topic; D005471:Fluoroscopy / Q000379:methods*; D006801:Humans; D007410:Intestinal Diseases / Q000000981:diagnostic imaging*; D007414:Intestinal Neoplasms / Q000000981:diagnostic imaging; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D011829:Radiation Dosage; D000267:Tissue Adhesions / Q000000981:diagnostic imaging