title: Small-bowel enema. An underutilized method of small-bowel examination.
abstract: The results of 88 consecutive small-bowel enemas were compared retrospectively with the results of 52 routine small-bowel series and 50 barium enemas done in the same patients. Ninety-six percent of the diagnoses made by small-bowel enema were correct, as compared to only 65% made by routine small-bowel series. The incorrect studies were mostly false negatives and the abnormalities missed included regional enteritis, small-bowel obstruction, and intestinal lymphoma. The barium enema failed to achieve ileal reflux in 26% of patients and had a 23% false negative rate when reflux was achieved. Because small-bowel series as done by conventional methods was significantly less accurate, we believe small-bowel enema should be considered in patients with suspected small-bowel disease when other studies are negative.
mesh_terms: D001466:Barium Sulfate; D003424:Crohn Disease / Q000175:diagnosis / Q000000981:diagnostic imaging; D004386:Duodenum; D004733:Enema; D005188:False Negative Reactions; D005471:Fluoroscopy; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000000981:diagnostic imaging; D007421:Intestine, Small / Q000000981:diagnostic imaging
chemical_list: D001466:Barium Sulfate