MedWorm: Barium Enema

An Official ATS Clinical Policy Statement: Congenital Central Hypoventilation Syndrome: Genetic Basis, Diagnosis, and Management.

Am J Respir Crit Car... — Tue, 09 Mar 2010 16:52:05 +0100

Conclusions: A PHOX2B mutation is required to confirm the diagnosis of CCHS. Knowledge of the specific PHOX2B mutation aids in anticipating the CCHS phenotype severity. Parents of patients with CCHS should be tested for PHOX2B mutations. Maintaining a high index of suspicion in cases of unexplained alveolar hypoventilation will likely identify a higher incidence of milder cases of CCHS. Recommended management options aimed toward maximizing safety and optimizing neurocognitive outcome include: (1) biannual then annual in-hospital comprehensive evaluation with (i) physiologic studies during awake and asleep states to assess ventilatory needs during varying levels of activity and concentration, in all stages of sleep, with spontaneous breathing, and with artificial ventilation, and to assess...

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For Best Colon Cancer Screening, Know Your Options

About.com Colon Cancer — Mon, 08 Mar 2010 00:00:00 +0100

Colon cancer screening options run the gamut in terms of accuracy, scientific evidence for effectiveness, amount of the colon examined, the need for sedation, and more. New research shows that having a full understanding of all of the aspects of each type of colon cancer screening method can help people better determine which test meets their needs. Which Tests, Which Outcomes Researchers wanted to find out how people felt about different colon cancer screening methods before and after being educated about thirteen aspects of each test. The colon cancer screening methods studied were: Fecal occult blood testing Flexible sigmoidoscopy Colonoscopy Double-contrast barium enema The aspects of each test that study participants learned about were: Accuracy: How well does the...

Rectosigmoid tubular duplication presenting as perineal sepsis in a neonate

Journal of Pediatric Surgery — Mon, 01 Mar 2010 00:00:00 +0100

We report a case of tubular rectal duplication in a newborn baby who presented with perianal sepsis. The diagnosis was confirmed by barium enema, magnetic resonance imaging, and at operation. We performed total mucosectomy through a posterior sagittal incision combined with laparotomy. The patient was doing quite well at 17-month follow-up examination. (Source: Journal of Pediatric Surgery)

Informed Decision Making Changes Test Preferences for Colorectal Cancer Screening in a Diverse Population.

Annals of Family Medicine — Mon, 01 Mar 2010 00:00:00 +0100

CONCLUSION: Participants were clear about the attributes that they prefer, but no single test has those attributes. Preferences were varied across participants and were not predictable; clinicians should discuss the full range of recommended tests for colorectal cancer with all patients. PMID: 20212301 [PubMed - as supplied by publisher] (Source: Annals of Family Medicine)

Extensive Work-Up for IBS Rarely Needed

Clinical Psychiatry News — Mon, 01 Mar 2010 00:00:00 +0100

LAKE BUENA VISTA, FLA. — An extensive work-up that includes tests such as colonoscopy should generally be avoided for patients suspected of having irritable bowel syndrome. Only when there are atypical or alarming symptoms such as fever, anemia, hematochezia, or a family history of colon cancer should an extensive diagnostic work-up including colonoscopy or barium enema be undertaken, according to Dr. Georgine M. Lamvu. (Source: Clinical Psychiatry News)

Laparoscopic extensive colectomy with transanal Soave pull-through for intestinal neuronal dysplasia in 17 children.

World Journal of Pediatrics : WJP — Mon, 01 Feb 2010 00:00:00 +0100

CONCLUSIONS: Laparoscopic procedure for left colectomy and subtotal colectomy with transanal Soave pull-through in infants and children with IND is safe, feasible, and effective. The location of barium stagnation in proximal margin may be used as a method to predict initially the proximal margin of the resected bowel segment. PMID: 20143211 [PubMed - in process] (Source: World Journal of Pediatrics : WJP)

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Functional outcome after Swenson's operation for Hirshsprung's disease

The Saudi Journal of Gastroenterology — Fri, 08 Jan 2010 14:17:48 +0100

Conclusion:</b><i> </i>Anorectal manometry is a more reliable method for diagnosis of HD than barium enema X-ray but for final diagnosis, it is reasonable to combine anorectal manometry with tissue biopsy. Functional outcome after Swenson's operation for HD may improve in some patients complaining of incontinence or constipation. Anorectal manometry may show improvement of the parameters after Swenson's operation. (Source: The Saudi Journal of Gastroenterology)

Latest updates to the CRD databases

Fri, 08 Jan 2010 13:49:25 +0100

The following resources were added to the databases from the Centre for Reviews and Dissemination during December: Added to DARE (these records are structured abstracts for published systematic reviews and meta-analyses): A systematic review on the timing of artificial nutrition in acute pancreatitis Acute appendicitis: meta-analysis of diagnostic performance of CT and graded compression US related to prevalence of disease Critical analysis of the performance of double-contrast barium enema for detecting colorectal polyps > or = 6 mm in the era of CT colonography Early endoscopic retrograde cholangiopancreatography versus conservative management in acute biliary pancreatitis without cholangitis: a meta-analysis of randomized trials Early versus delayed feeding after placement of a p...

Re-appraisal of clinical usefulness of67Ga-citrate scintigraphy for primary colorectal carcinoma: with evaluation of scintigram obtained from resected specimens

Annals of Nuclear Medicine — Sat, 12 Dec 2009 14:22:49 +0100

Abstract Clinical usefulness of67Ga-citrate scintigraphy for the diagnosis of colorectal carcinoma was reappraised at the standpoint of clinicopathological diagnosis. Fifty-eight patients with colonic carcinoma were subjected to this study. They underwent67Ga scintigraphy before surgery. Colorectal carcinomas were detected in 38 patients, 65.5% by this procedure. Surgical specimens from thirty-seven patients underwent postoperative scanning. The scanning of the surgical specimen revealed accumulation of67Ga-citrate in all 37 patients, suggesting that67Ga-citrate accumulated in the carcinoma of the colon. The results suggested that detectability of carcinoma of the colon by67Ga scintigraphy in this series was better than generally considered. 67Ga scintigraphy was c...

Survey Update on Implementation, Indications, and Technical Performance of Computed Tomography Colonography in Sweden.

Acta Radiologica — Mon, 07 Dec 2009 00:00:00 +0100

Conclusion: The survey reflects a further transition process from DCBE to CTC, with attitudes of radiologists increasingly in favor of CTC, although DCBE is still performed by the majority of radiology departments. DCBE should be replaced by colonoscopy and CTC, but the transition requires both human and economic resources. PMID: 19961399 [PubMed - as supplied by publisher] (Source: Acta Radiologica)

Modified Soave procedure for the treatment of vascular malformations involving anorectum and sigmoid colon

Journal of Pediatric Surgery — Tue, 01 Dec 2009 00:00:00 +0100

Conclusions: VMARS forms a unique subset of patients with vascular malformations who have rectal bleeding. The combination of Soave procedure and Sarasola-Klose hemorrhoidectomy is a safe and effective procedure for VMARS. (Source: Journal of Pediatric Surgery)

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double contrast barium enema

About.com Colon Cancer — Thu, 26 Nov 2009 00:00:00 +0100

Double Contrast Barium Enema, also called DCBE, is a test that is used to screen for colon cancer and other bowel conditions and diseases. (Source: About.com Colon Cancer)

Colonic invasion of malignant peritoneal mesothelioma

Gastrointestinal Endoscopy — Fri, 13 Nov 2009 00:00:00 +0100

A 56-year-old woman presented with a several-week history of low-grade fever and diarrhea. For 4 years, she had been treated for malignant peritoneal mesothelioma with monthly or bimonthly intravenous vinorelbine ditartrate (30 mg/m2) followed by intraperitoneal cisplatin (100 mg/m2). A barium contrast enema showed a large mass in the mid-transverse colon (A), which was confirmed at colonoscopy (B). Biopsy specimens taken from the lesion revealed sarcomatous tissue with spindle cells (C). Immunostaining revealed the tissue to be carcinoembryonic antigen negative but calretinin positive (D), thereby supporting a diagnosis of malignant peritoneal mesothelioma. This patient had no evidence of asbestos exposure, and the cause for the mesothelioma was unknown. (Source: Gastrointestinal Endoscop...

Journal of Pediatric Surgery — Sun, 01 Nov 2009 00:00:00 +0100

The aim of this paper was to assess the clinical value of anorectal manometry (ARMM) in the diagnosing of Hirschsprung's disease (HD) in neonates. From January 2003 to June 2005, 75 patients in whom HD was clinically suspected were analyzed. ARMM was performed using a desk, high rate gastrointestinal dynamic detection system and the results were compared with barium enema and rectal suction biopsy. Based on rectal suction biopsies in 52 of 75 patients, the positive, false positive, negative, and false negative rates of ARMM in the diagnosis of HD in neonates were found to be 92.3, 1.9, 1.9, and 3.8%, respectively. Forty-three of 75 patients were diagnosed with HD by both ARMM and barium enema and the diagnoses were validated by pathologic results. The diagnosis of HD was excluded in 18 pat...

Survey of medical students and junior house doctors on the effects of medical radiation: is medical education deficient?

Irish Journal of Medical Science — Sat, 10 Oct 2009 07:15:54 +0100

Conclusion The knowledge of basic radiological procedures and patient doses was extremely limited. Current undergraduate teaching needs to be expanded and continued post-qualification to improve core understanding and facilitate safe practice. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11845-009-0341-5Authors M. W. McCusker, St. James’s Hospital Department of Radiology Dublin 8 IrelandC. de Blacam, St. James’s Hospital Department of Radiology Dublin 8 IrelandM. Keogan, St. James’s Hospital Department of Radiology Dublin 8 IrelandR. McDermott, St. James’s Hospital Department of Radiology Dublin 8 IrelandP. Beddy, St. James’s Hospital Department of Radiology Dublin 8 Ireland Journal Irish Journal of Medical ScienceOnline ISSN 1863-...

Value-of-Information Analysis to Guide Future Research in Colorectal Cancer Screening [Health Policy and Practice]

Continuous Publishing articles — Mon, 28 Sep 2009 23:00:00 +0100

Conclusion: Results of value-of-information analysis show that future research on the optimal test for CRC screening has a large societal impact. Priority should be given to research on the increase in adherence with screening by using less invasive tests and to better understanding of the natural history of CRC. Supplemental material: http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.2533090234/-/DC1 © RSNA, 2009 (Source: Continuous Publishing articles)

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Value-of-Information Analysis to Guide Future Research in Colorectal Cancer Screening.

Radiology — Mon, 28 Sep 2009 23:00:00 +0100

Conclusion: Results of value-of-information analysis show that future research on the optimal test for CRC screening has a large societal impact. Priority should be given to research on the increase in adherence with screening by using less invasive tests and to better understanding of the natural history of CRC. Supplemental material: http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.2533090234/-/DC1 (c) RSNA, 2009. PMID: 19789242 [PubMed - as supplied by publisher] (Source: Radiology)

Acute lower gastrointestinal bleeding in 1,112 patients admitted to an urban emergency medical center

Surgery — Mon, 28 Sep 2009 17:44:47 +0100

Conclusion: In this urban setting, diverticulosis, hemorrhoids, and carcinoma were the most common causes of severe acute lower gastrointestinal bleeding (LGIB) with diverticular bleed causing the highest recurrence. Colonoscopy allows for diagnosis in most patients with severe acute LGIB requiring hospitalization. Furthermore, it is now being used more effectively for hemostasis resulting in less operative intervention to control bleeding. (Source: Surgery)

CT colonography versus double-contrast barium enema for screening of colorectal cancer: comparison of radiation burden

Abdominal Imaging — Thu, 24 Sep 2009 05:49:08 +0100

Abstract Our aim is to compare the radiation dose associated with a low-dose CT colonography (CTC) protocol for colorectal cancer screening with that delivered by double-contrast barium enema (DCBE). CTC of twenty asymptomatic individuals (M:F = 10:10) participating to a colorectal cancer screening program and DCBE of fifteen patients (M:F = 6:9) were evaluated. For CTC, absorbed dose was determined by calculating the dose-length product for each CTC examination from measurements on a CT dose phantom equipped with a CT ion chamber. For DCBE, the free-in-air Kerma at the patient’s X-ray entry surface and the Kerma-area product during fluoroscopy and fluorography were measured with a Barracuda system, with fluoroscopy times being recorded blinded to the ...

Patient dose assessment due to fluoroscopic exposure for some selected fluoroscopic procedures in Ghana

Radiation Protection Dosimetry — Sun, 20 Sep 2009 23:00:00 +0100

Organ and effective doses to 90 patients undergoing some selected fluoroscopic examinations at the Korle-Bu Teaching Hospital were estimated using the Monte Carlo-based program (PCXMC version 1.5). Radiation dose was estimated from free-in-air measurements. The mean effective doses were found to be 0.29 ± 0.07, 0.84 ± 0.13, 3.15 ± 0.44, 6.24 ± 0.70 and 0.38 ± 0.05 mSv for urethrogram, barium swallow, barium meal, barium enema and myelogram examinations, respectively. The dose area product was estimated to be 3.55 ± 0.95, 16.44 ± 2.60, 50.81 ± 7.04, 99.69 ± 10.85 and 9.32 ± 0.99 Gy cm2 for urethrogram, barium swallow, barium meal, barium enema and myelogram examinations, respectively. Optimisation of procedures is require...

An unusual presentation of a cystic duplication of the sigmoid colon entirely lined with squamous epithelium

Journal of Pediatric Surgery — Mon, 31 Aug 2009 23:00:00 +0100

We report a case of descending colonic communicating duplication in which clinical presentation and anatomopathologic results were unexpected.A slightly echogenic abdominal mass reaching 72 × 36 mm in the left flank was diagnosed in a female fetus during the third trimester ultrasound examination. At birth, volume of the mass rapidly evolved, and despite no intestinal obstruction was observed by compression of the adjacent gastrointestinal tract, abdomen was distended.Abdominal plain film showed a large air collection, and the barium enema demonstrated a slight leak of contrast in the aerated mass, suggesting a communication with the sigmoid colon. No other abnormalities were seen. The patient underwent surgery in emergency. The mass was then totally excised through an antimesenteric rese...

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Pneumobilia, chronic diarrhea, vitamin K malabsorption: a pathognomonic triad for cholecystocolonic fistulas.

World Journal of Gastroenterology : WJG — Thu, 27 Aug 2009 23:00:00 +0100

We report a case of a spontaneous CF in a 75-year-old diabetic male admitted to hospital for the investigation of chronic watery diarrhea and weight loss. Massive pneumobilia demonstrated on abdominal ultrasound and computerized tomography, along with chronic, bile acid-induced diarrhea and a prolonged prothrombin time due to vitamin K malabsorption, led to the clinical suspicion of the fistula. Despite further investigation with barium enema and magnetic resonance cholangio-pancreatography, diagnosis of the fistulous tract between the gallbladder and the hepatic flexure of the colon could not be established preoperatively. Open cholecystectomy with fistula resection and exploration of the common bile duct was the preferred treatment of choice, resulting in an excellent postoperative clini...

Colonic perforation during barium enema in a patient without known colonic disease: a case report

Cases Journal — Thu, 13 Aug 2009 23:00:00 +0100

We report a case of colonic perforation during barium enema in a 72-year-old female patient, due to excessive barium applied into the rectum. (Source: Cases Journal)

Primary transanal Swenson pull-through operation for Hirschsprung’s disease

Pediatric Surgery International — Sun, 09 Aug 2009 09:33:46 +0100

Conclusions Primary TSPT would be an alternative, safe technique in children with HD. The technique is not difficult, and associated with acceptable short-term outcomes. A long-term follow-up will be necessary to assess the real benefit of the technique. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-009-2428-5Authors Paiboon Sookpotarom, Srinakharinwirot University Department of Surgery, Panyananthaphikkhu Chonprathan Medical Center Nonthaburi ThailandPaisarn Vejchapipat, Chulalongkorn University Department of Surgery, Faculty of Medicine Bangkok Thailand Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179-0358 (Source: Pediatric Surgery International)

Accuracy of Self-Reported Reason for Colorectal Cancer Testing

Annals of Epidemiology — Fri, 07 Aug 2009 12:03:28 +0100

We examined the accuracy of self-reported reason for CRC testing (screening vs. diagnosis) and its correlates in a sample of patients from a large multispecialty clinic in Houston, TX, between 2005–2007 who received at least one CRC test: fecal occult blood test, sigmoidoscopy (SIG), colonoscopy (COL), or doublecontrast barium enema. (Source: Annals of Epidemiology)

Botox injection treatment for anal outlet obstruction in patients with internal anal sphincter achalasia and Hirschsprung’s disease

Pediatric Surgery International — Fri, 07 Aug 2009 11:13:48 +0100

Conclusion Although successful in some patients, the role of BIT remains undetermined. It is difficult to predict which patients will profit from BIT. Continuing other treatment modalities after BIT may improve the results. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-009-2438-3Authors A. I. Koivusalo, LNS HUS, University of Helsinki Hospital for Children and Adolescents Stenbackinkatu 11 000290 Helsinki FinlandM. P. Pakarinen, LNS HUS, University of Helsinki Hospital for Children and Adolescents Stenbackinkatu 11 000290 Helsinki FinlandR. J. Rintala, LNS HUS, University of Helsinki Hospital for Children and Adolescents Stenbackinkatu 11 000290 Helsinki Finland Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179...

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Dually eligible and colorectal cancer screening: too little, too late?

Journal of Health Care for the Poor and Underserved — Fri, 31 Jul 2009 23:00:00 +0100

Conclusions. Dually eligible CRC patients were screened less and diagnosed later than Medicare patients. Fecal occult blood testing remains a less invasive and less costly screening option that may reduce late-stage diagnosis in lowincome populations. PMID: 19648712 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)

New screening guidelines for colorectal cancer: a practical guide for the primary care physician.

Primary Care — Wed, 22 Jul 2009 12:08:11 +0100

Authors: Allison JE, Potter MB Until recently, most clinical guidelines in the United States were in general agreement about the tests available for colorectal cancer screening, recommending fecal occult blood tests every year, flexible sigmoidoscopy every 5 years, both these tests together, double contrast barium enema every 5 years, or colonoscopy every 10 years. However, the release of two new sets of guidelines in 2008 has made it necessary for primary care physicians to update their knowledge of the recommended screening options. The most influential factor in determining whether a patient is screened is recommendation from a physician. The primary goal of this article is to review and critique the new guidelines for average-risk screening in adults older than 50 years. Armed with...

New Screening Guidelines for Colorectal Cancer: A Practical Guide for the Primary Care Physician

Primary Care: Clinics in Office Practice — Sat, 18 Jul 2009 11:05:57 +0100

Until recently, most clinical guidelines in the United States were in general agreement about the tests available for colorectal cancer screening, recommending fecal occult blood tests every year, flexible sigmoidoscopy every 5 years, both these tests together, double contrast barium enema every 5 years, or colonoscopy every 10 years. However, the release of two new sets of guidelines in 2008 has made it necessary for primary care physicians to update their knowledge of the recommended screening options. The most influential factor in determining whether a patient is screened is recommendation from a physician. The primary goal of this article is to review and critique the new guidelines for average-risk screening in adults older than 50 years. Armed with this information, primary care phy...

[Case Report: An Intestinal Obstruction Due to Ascariasis.]

Turkish Society for Parasitology — Thu, 16 Jul 2009 00:30:03 +0100

Authors: Tamer GS, Tamer Y Ascaris lumbricoides (A. lumbricoides) with which one billion people around the world is infected is also widely seen in Turkey. This case report presents an ascariasis infection which displayed typical radiological findings in Kocaeli, a non-endemic region of Turkey. The patient was admitted to hospital with symptoms of heavy abdominal pain, nausea-vomiting and weakness. The symptoms had started weakly three weeks earlier and the patient had applied to a private health care center. After a through examination with several appropriate tests including a barium small-bowel enema, a morphological finding similar to helminth was observed filling the lumen of the jejunum. When rectal swabs were examined A. lumbricoides oocytes were discovered. The patient was trea...

Letter from the Editor

Seminars in Ultrasound CT and MRI — Tue, 14 Jul 2009 11:34:31 +0100

It was during my residency in 1973 that a junior member of the Cincinnati radiology faculty placed an ultrasound transducer on the flank of a prone patient and pointed out the kidney to me. To Michael Grossman, it was obvious, “The kidney is that oval thing with echoes in the middle,” but for me it required a leap of imagination. After all, he was showing me a bistable image on a very early piece of equipment. All I saw was a bunch of dots, and I scoffed quietly. In just less than a few years, however, improvements in image quality had made such an impact that we were actually able to put together an issue of this journal entitled, “The Kidney” (March 1981, Volume 2, Number 1). This really was an ultrasound issue (Seminars was then an ultrasound journal). The only other test that h...

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What is the most cost-effective strategy to screen for second primary colorectal cancers in male cancer survivors in Korea?

World Journal of Gastroenterology : WJG — Sun, 05 Jul 2009 13:18:33 +0100

CONCLUSION: Our study suggests that more strict and frequent recommendations for colonoscopy such as COL5 and COL3 could be considered as economically reasonable second primary CRC screening strategies for Korean male cancer survivors. PMID: 19575496 [PubMed - as supplied by publisher] (Source: World Journal of Gastroenterology : WJG)

Evaluation of colonic involvement in endometriosis: double-contrast barium enema vs. magnetic resonance imaging

Abdominal Imaging — Wed, 01 Jul 2009 06:16:50 +0100

Conclusion DCBE is more accurate than unenhanced MRI in the diagnosis of bowel endometriosis, and should be preferred in the preoperative management of this disease, since it usually enables a proper surgical planning. Content Type Journal ArticleDOI 10.1007/s00261-009-9544-5Authors N. Faccioli, G.B. Rossi Hospital, University of Verona Department of Radiology Piazzale Scuro 10 37134 Verona ItalyG. Foti, G.B. Rossi Hospital, University of Verona Department of Radiology Piazzale Scuro 10 37134 Verona ItalyR. Manfredi, G.B. Rossi Hospital, University of Verona Department of Radiology Piazzale Scuro 10 37134 Verona ItalyP. Mainardi, Sacro Cuore Hospital Department of Radiology Negrar, Verona ItalyE. Spoto, Sacro Cuore Hospital Department of Radiology Negrar, Verona ItalyG...

Direct radionuclide cystography imaging in colovesical fistula due to inguinal hernia operation complication

Annals of Nuclear Medicine — Tue, 16 Jun 2009 05:52:19 +0100

We present a case of colovesical fistula. A 57-year-old male was admitted to a local hospital with complaints of dysuria and pneumaturia. He had a past history of total extraperitoneal laparoscopic inguinal hernia repair operation 7 years previously for bilateral inguinal hernia. The case was assessed with radiologic and scintigraphic techniques. Radiologic techniques (plain abdominal radiography, intravenous pyelogram, ultrasound examination, double-contrast barium enema, CT, MRI) were inadequate to determine the colovesical fistula. The colovesical fistula was visualized with direct radionuclide voiding cystography as an alternative scintigraphic method. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s12149-009-0276-yAuthors Muge Tamam, Okmeydani Training and...

How important is it to investigate the whole of the colon after initial assessment at a rapid access colorectal clinic?

International Journal of Colorectal Disease — Fri, 05 Jun 2009 09:47:15 +0100

Conclusions A rapid access colorectal clinic using flexible sigmoidoscopy as the initial diagnostic test was safe and effective in investigating distal colonic pathologies. However, over two thirds of patients proceeded to imaging of the remaining colon, and most of them were found to have only benign pathologies. The cost effectiveness and acceptability of this were unclear. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-009-0741-zAuthors Chung Sim Lim, Forth Valley NHS Department of General Surgery, Stirling Royal Infirmary Livilands Stirling FK8 2AU UKLinnet McGeever, Forth Valley NHS Department of General Surgery, Stirling Royal Infirmary Livilands Stirling FK8 2AU UKJudith Helen Grey, Forth Valley NHS Department of General Surgery, Stirli...

Colorectal Cancer Screening Among First-Degree Relatives of Colorectal Cancer Patients: Benefits and Barriers

Annals of Surgical Oncology — Fri, 29 May 2009 08:23:56 +0100

Conclusion In this survey, 70% of FDR of CRC patients had undergone screening; age was the most important predictor. Understanding underlying constructs influencing screening behavior may improve uptake of CRC screening in this population. Content Type Journal ArticleCategory Healthcare Policy and OutcomesDOI 10.1245/s10434-009-0528-zAuthors Lloyd A. Mack, University of Calgary Department of Surgery and Oncology Calgary AB CanadaLinda S. Cook, University of New Mexico Department of Internal Medicine Albuquerque NM USAWalley J. Temple, University of Calgary Department of Surgery and Oncology Calgary AB CanadaLinda E. Carlson, University of Calgary Department of Oncology Calgary AB CanadaRobert J. Hilsden, University of Calgary Department of Medicine and Community Health...

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not dread screening

About.com Colon Cancer — Wed, 20 May 2009 04:00:00 +0100

Information on what to expect when preparing for a colonoscopy, sigmoidoscopy, or double contrast barium enema (DCBE) test, plus tips on how to make this process easier. (Source: About.com Colon Cancer)

Endometriosis of the Posterior Cul-De-Sac: Clinical Presentation and Findings at Transvaginal Ultrasound

American Journal of Roentgenology — Tue, 19 May 2009 04:00:00 +0100

CONCLUSION. Patients with endometriosis of the posterior cul-de-sac frequently present with atypical noncyclic symptoms. The transvaginal ultrasound features characteristic of posterior cul-de-sac endometriosis are a solid, often spiculated, noncompressible mass near the posterior cul-de-sac that is localized at the serosal surface of the rectosigmoid, spares the mucosa and submucosa, and is vascular. (Source: American Journal of Roentgenology)

Corrigendum to: Audit of the introduction of CT colonography for detection of colorectal carcinoma in a non-academic environment and its implications for the national bowel cancer screening programme [64 (2) 142–147]

Clinical Radiology — Fri, 15 May 2009 19:45:54 +0100

The caption to Fig. 1 in the above article should have read as below: Figure 1: Comparison of the Number of Barium Enemas and CT Colonography performed in Portsmouth NHS Hospitals Trust over the past 7 years. Prone and supine acquisitions have been recorded separately for CT Colonography. (Source: Clinical Radiology)

Colorectal Cancer Screening by Primary Care Physicians: Recommendations and Practices, 2006–2007

American Journal of Preventive Medicine — Wed, 13 May 2009 23:00:00 +0100

Conclusions: Physicians' CRC screening recommendations and practices have changed substantially since 1999–2000. Colonoscopy is now the most frequently recommended test. Most physicians do not recommend the full menu of test options prescribed in national guidelines. Few perform sigmoidoscopy. Office systems to support CRC screening are lacking in many physicians' practices. Given ongoing changes in CRC screening technologies and guidelines, the continued monitoring of physicians' CRC screening recommendations and practices is imperative. (Source: American Journal of Preventive Medicine)

Trends in Colorectal Cancer Test Use in the Medicare Population, 1998–2005

American Journal of Preventive Medicine — Thu, 07 May 2009 23:00:00 +0100

Conclusions: CRC test-use rates in the Medicare population are low. Disparities are apparent by age, race/ethnicity, gender, disability, income, and geographic residence. Much work remains to be done to increase testing to acceptable levels. (Source: American Journal of Preventive Medicine)

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Journal of Pediatric Surgery — Fri, 01 May 2009 04:00:00 +0100

Transanal one-stage endorectal pull-through (TOSEPT) has been presented as the most recent progression in treatment of Hirschsprung's disease (HD), which may be able to replace various previous techniques. This prospective study was designed to compare the efficacy and probable complications of the commonly used open surgery with those of TOSEPT technique in management of HD. Forty-two children (35 boys and 7 girls) between 3 days and 12 years of age underwent surgical treatment for HD—all after being diagnosed by barium enema over an 18-month period. In a manner of systematic random selection, 21 patients were operated by TOSEPT and the other 21 by Swenson procedures. All patients were followed-up at least for 12 months after hospital discharge. The necessary data containing age, sex, l...

Improved rates of colorectal cancer screening in an equal access population

American Journal of Surgery — Fri, 24 Apr 2009 17:01:51 +0100

Conclusions: Although ethnicity-, gender-, and age-related disparities were observed, screening rates are improved in an equal access healthcare system. (Source: American Journal of Surgery)

Impact of age and comorbidity on colorectal cancer screening among older veterans.

Annals of Internal Medicine — Tue, 07 Apr 2009 04:00:00 +0100

CONCLUSION: Advancing age was inversely associated with colorectal cancer screening, whereas comorbidity was a weaker predictor. More attention to comorbidity is needed to better target screening to older patients with substantial life expectancies and avoid screening older patients with limited life expectancies. primary funding source: VA Health Services Research and Development. PMID: 19349631 [PubMed - in process] (Source: Annals of Internal Medicine)

Pregnancy and radiation exposure during therapeutic ERCP: time to put the baby to bed?

Gastrointestinal Endoscopy — Wed, 01 Apr 2009 04:00:00 +0100

ERCP is now almost exclusively performed for therapeutic indications, and, when performed during pregnancy, it is even more imperative that it is performed only for such purposes. This is not only because of the risks to the mother but also risks to the fetus. These risks can be caused by the usual endoscopic risks (such as bleeding, pancreatitis, or perforation) that would jeopardize the health of the mother and, subsequently, the fetus. Yet, in addition, the radiation exposure from ERCP is of particular concern because of the increased sensitivity of the fetus to radiation effects, which include adverse effects on growth and development, as well as the possibility for increased childhood cancer risk. Growth and mental retardation effects have been shown to have a threshold of 100 to 250 ...

Improved rates of colorectal cancer screening in an equal access population.

American Journal of Surgery — Sat, 21 Mar 2009 04:00:00 +0100

CONCLUSIONS: Although ethnicity-, gender-, and age-related disparities were observed, screening rates are improved in an equal access healthcare system. PMID: 19306971 [PubMed - as supplied by publisher] (Source: American Journal of Surgery)

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Overview of Colon Cancer Tests

About.com Colon Cancer — Sat, 07 Mar 2009 05:00:00 +0100

There are five common colon cancer tests: colonoscopy, virtual colonoscopy, sigmoidoscopy, barium enema, and stool testing. Each has benefits and drawbacks, so it's best to ask your doctor which colon cancer test is appropriate for you. In the meantime, however, here's an overview of the most common types of colon cancer tests. (Source: About.com Colon Cancer)

Medicare Benefits

About.com Colon Cancer — Sat, 07 Mar 2009 05:00:00 +0100

Medicare benefits cover a variety of colorectal cancer screening tests, including fecal occult blood tests (FOBTs), sigmoidoscopies, colonoscopies, and barium enemas. (Source: About.com Colon Cancer)

Wendy's Barium Enema Story

About.com Colon Cancer — Sat, 07 Mar 2009 05:00:00 +0100

Wendy is married and the proud mother of three yellow labs. She lives in Burlington, Ontario, and does not have good things to say about the barium enema she received. Learn more about Wendy's barium enema experience. (Source: About.com Colon Cancer)

Barium enema

Gastroenterology and Liver Diseases Specialist Library - Diagnostic procedures — Fri, 06 Mar 2009 16:07:50 +0100

A barium enema is a procedure that is carried out using a special type of X-ray to examine the large bowel for problems such as polyps, colitis, and tumours. (Source: Gastroenterology and Liver Diseases Specialist Library - Diagnostic procedures)

The Frequency of Early Repeat Tests After Colonoscopy in Elderly Medicare Recipients

Digestive Diseases and Sciences — Wed, 25 Feb 2009 10:10:02 +0100

Conclusions The frequency of early RAFTs after colonoscopy occurs in 8.3% of the Medicare population. Important differences exist in the frequency of RAFTs by race and provider type. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10620-009-0736-1Authors Robert J. Richards, Stony Brook University, Health Science Center Department of Gastroenterology and Hepatology Gastroenterology Level 17, Rm 060 Stony Brook NY 11794-8173 USAStephen Crystal, Rutgers University–Institute For Health Health Care Policy, and Aging Research New Brunswick NJ USA Journal Digestive Diseases and SciencesOnline ISSN 1573-2568Print ISSN 0163-2116 (Source: Digestive Diseases and Sciences)

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Barium Enema

MedicineNet Digestion General — Tue, 10 Feb 2009 07:00:00 +0100

Title: Barium EnemaCategory: Procedures and TestsCreated: 12/31/1997Last Editorial Review: 2/10/2009 (Source: MedicineNet Digestion General)

Adult Segmental Hirschsprung Disease.

Southern Medical Journal — Thu, 05 Feb 2009 08:08:38 +0100

Hirschsprung disease is seldom diagnosed in adulthood, and segmental involvement is very rare. A 37-year-old man suffered from refractory constipation for twenty years; he could only defecate once a week. A barium enema showed an annular stenotic segment of the rectosigmoid colon of 8 cm in length. The narrowed segment of the rectum was resected, and at one-year follow-up, the patient no longer had trouble defecating.Page: 184DOI: 10.1097/SMJ.0b013e31817be9c6Authors: Yuksel, Ilhami MD; Ataseven, Hilmi MD; Ertugrul, Ibrahim MD; Basar, Omer MD; Sasmaz, Nurgul MD (Source: Southern Medical Journal)

Anatomic Significance of a Positive Barium Enema in Deep Infiltrating Endometriosis of the Large Bowel

World Journal of Surgery — Wed, 04 Feb 2009 10:46:05 +0100

Conclusions Findings of mass effect with indentations and ridging of the mucosa on DCBE in a setting suspicious for large-bowel endometriosis correspond well with pathologic findings of deep infiltration of the large-bowel wall. Clinicians dealing with deep infiltrating endometriosis should be aware of these findings, which could influence their choice of surgical treatment. Content Type Journal ArticleDOI 10.1007/s00268-008-9903-3Authors Vincent Anaf, Academic Hospital Erasme. Free University of Brussels (ULB) Department of Gynecology 808, Route de Lennik 1070 Brussels BelgiumIssam El Nakadi, Academic Hospital Erasme. Free University of Brussels (ULB) Department of Digestive Surgery 808, Route de Lennik 1070 Brussels BelgiumVeronique De Moor, Academic Hospital Erasme...

[Institutional report - Esophagus] Gastrocoele: a complication of combined oesophageal and antral corrosive strictures

Interactive CardioVascular and Thoracic Surgery — Thu, 22 Jan 2009 05:00:00 +0100

We describe a previously undescribed condition called gastrocoele, a rare condition caused by combined oesophageal and antral strictures and review our results. We present our experience with nine cases of gastrocoele due to combined corrosive strictures of oesophagus and antrum between 1993 and 2005. The age group was 21–65 years with female preponderant (66%) sex distribution. The presentation was at a median of 110 days (range 45–400 days) following the corrosive ingestion. The standard investigations included barium swallow, endoscopy, jejunostomy tubogram and barium enema. The surgical procedures performed were antrectomy and coloplasty in six (one staged), antrectomy and oesophageal dilatation in two and gastrojejunostomy and coloplasty in one. There was no...

Colorectal cancer screening among underserved minority population: Discrepancy between physicians’ recommended, scheduled, and completed tests

Patient Education and Counseling — Fri, 16 Jan 2009 00:00:00 +0100

Conclusion: Effective interventions to reduce CRC mortality among underserved minority populations require an integrated approach that engages patients, providers, and health care systems.Practice implications: Designing interventions that (1) increase physician–patient communications for removing patients’ perceived barriers for CRC testing and (2) promote a non-physician-based navigator system that reinforces physicians’ recommendation are strongly recommended. (Source: Patient Education and Counseling)

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A new screening test for chronic abdominal pain

EurekAlert! - Medicine and Health — Mon, 29 Dec 2008 05:00:00 +0100

(World Journal of Gastroenterology) Fifty patients with undiagnosed chronic abdominal pain of bowel origin underwent barium meal follow through (BMFT), BMFT with pneumocolon (BMFTP). Adding pneumocolon to BMFT not only helped in detecting ileo-cecal abnormalities better but also revealed other colonic abnormalities simultaneously obviating the need of colonoscopy and barium enema in a large subset of patients thereby lowering cost of screening these subjects which is quite important for developing poor nations where health budgets are quite low. (Source: EurekAlert! - Medicine and Health)

Audit of the introduction of CT colonography for detection of colorectal carcinoma in a non-academic environment and its implications for the national bowel cancer screening programme.

Clinical Radiology — Fri, 26 Dec 2008 08:31:21 +0100

CONCLUSION: CTC is more sensitive for the detection of CRC, and its introduction in a district general hospital is justified. However, there has been a consequent decline in DCBE sensitivity, which, if reflected nationally, suggests CTC is the preferential screening test for CRC. PMID: 19103343 [PubMed - in process] (Source: Clinical Radiology)

Referral letters for 2-week wait suspected colorectal cancer do not allow a 'straight-to-test' pathway.

Annals of the Royal College of Surgeons of England — Fri, 19 Dec 2008 05:00:00 +0100

CONCLUSIONS A significant number of patients would have had tests changed after a clinical consultation. However, only a small number equired further investigations having had a consultation prior to their initial investigations. We conclude that 2-week wait suspected colorectal cancer patients should be seen in the clinic first and should not proceed 'straight-to-test'. PMID: 19102819 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)

Colorectal cancer: a summary of the evidence for screening and prevention.

American Family Physician — Mon, 15 Dec 2008 05:00:00 +0100

Authors: Wilkins T, Reynolds PL Colorectal cancer causes significant morbidity and mortality in the United States. The incidence of colorectal cancer can be reduced with increasing efforts directed at mass screening of average-risk adults 50 years and older. Currently, fecal occult blood test and flexible sigmoidoscopy have the highest levels of evidence to support their use for colorectal cancer screening. Colonoscopy does not have a proven colorectal cancer mortality benefit, but it does have the greatest single-test accuracy, and it is the final test in the pathway to evaluate and treat patients with other abnormal screening tests. Double-contrast barium enema has sparse data of effectiveness. Computed tomographic colonography, fecal DNA testing, and Pillcam Colon are promising test...

Factors Influencing Choices for Colorectal Cancer Screening Among Previously Unscreened African and Caucasian Americans: Findings from a Triangulation Mixed Methods Investigation

Journal of Community Health — Thu, 11 Dec 2008 12:00:05 +0100

Abstract We investigated factors that influence choice of colorectal cancer (CRC) screening test and assessed the most- and least-preferred options among fecal occult blood testing (FOBT), flexible sigmoidoscopy, colonoscopy, and double contrast barium enema among adults with varied race, gender, and geographic region demographics. Mixed methods data collection consisted of 10 focus group interviews and a survey of the 93 focus group participants. Participants were ≥50 years of age and reported not having been screened for colorectal cancer in the last ten years. Analyses examined differences by race, gender, and geographic location. Participants had modest knowledge about CRC and there were fewer correct answers to knowledge questions by African Americans. Particip...

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Evaluation of patient dose for barium enemas and CT colonography in Japan.

The British Journal of Radiology — Mon, 08 Dec 2008 05:00:00 +0100

The objective of this study was to assess patient doses for examinations of the lower digestive tract (barium enemas and CT colonography) in Japan. These doses were evaluated from in-phantom dose measurements using a dosemeter-implanted anthropomorphic phantom and from the knowledge of procedures of these examinations. For barium enemas, the doses, which were the sums of doses for various projections in the procedure, were separately derived for fluoroscopy and for analogue and digital radiography. For CT colonography, the doses were evaluated for the prone and the supine positions, each including the doses by scout imaging, and a single abdominal scan for routine and low-dose set-ups. For barium enemas, maximum local skin doses were less than 100 mGy despite relatively long average fluoro...

Preliminary evaluation of anorectal manometry in diagnosing Hirschsprung’s disease in neonates

Pediatric Surgery International — Fri, 28 Nov 2008 14:03:14 +0100

Conclusions ARMM is a simple, safe, and non-invasive method with high specificity for the diagnosis of HD in neonates. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-008-2293-7Authors Yanlei Huang, Children’s Hospital of Fudan University Department of Pediatric Surgery 399 Wan Yuan Road 201102 Shanghai People’s Republic of ChinaShan Zheng, Children’s Hospital of Fudan University Department of Pediatric Surgery 399 Wan Yuan Road 201102 Shanghai People’s Republic of ChinaXianmin Xiao, Children’s Hospital of Fudan University Department of Pediatric Surgery 399 Wan Yuan Road 201102 Shanghai People’s Republic of China Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179-0358 (Source: Pediatric Surgery Interna...

Comparative study between botulinum toxin injection and partial division of puborectalis for treating anismus

International Journal of Colorectal Disease — Fri, 28 Nov 2008 14:03:14 +0100

Conclusion BTX-A injection seems to be successful for temporary treatment of anismus. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-008-0609-7Authors Mohamed Farid, Mansoura Faculty of Medicine Mansoura EgyptTamer Youssef, Mansoura University Hospital Mansoura Faculty of Medicine Gomhoria St. Mansoura EgyptTarek Mahdy, Mansoura Faculty of Medicine Mansoura EgyptWaleed Omar, Mansoura Faculty of Medicine Mansoura EgyptHesham Abdul Moneim, Mansoura Faculty of Medicine Mansoura EgyptAyman El_Nakeeb, Mansoura Faculty of Medicine Mansoura EgyptMohamed Youssef, Mansoura Faculty of Medicine Mansoura Egypt Journal International Journal of Colorectal DiseaseOnline ISSN 1432-1262Print ISSN 0179-1958 (Source: International Journal of Colorectal Dise...

Barium meal follow through with pneumocolon: Screening test for chronic bowel pain.

World Journal of Gastroenterology : WJG — Fri, 21 Nov 2008 05:00:00 +0100

CONCLUSION: BMFTP should be included in the investigative workup of patients with chronic abdominal pain of luminal origin, where either multiple sites (small and large intestine) of involvement are suspected or the site is unclear on clinical grounds. BMFTP is an economical, quick and comfortable procedure which obviates the need for colonoscopy in the majority of patients. PMID: 19034973 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)

Therapeutic barium enema for bleeding colonic diverticula: Four case series and review of the literature.

World Journal of Gastroenterology : WJG — Fri, 07 Nov 2008 05:00:00 +0100

We report the four case series of therapeutic barium enema and reviewed the literature pertinent to this procedure. PMID: 19009662 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)

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Diagnosis and surgical treatment of isolated hypoganglionosis.

World Journal of Pediatrics : WJP — Sat, 01 Nov 2008 04:00:00 +0100

CONCLUSIONS: Hypoganglionosis is a common disease, and could be finally confirmed by full-thickness biopsies in different bowel segments. The resection range can be estimated according to barium enema and 24-hour delayed X-ray findings, by which the satisfactory result in short-term follow-up can be obtained. PMID: 19104894 [PubMed - in process] (Source: World Journal of Pediatrics : WJP)

Predictors of Colorectal Cancer Knowledge and Screening Among Church-Attending African Americans and Whites in the Deep South

Journal of Community Health — Wed, 22 Oct 2008 06:35:47 +0100

This study examined colorectal cancer (CRC) knowledge and the relationship between knowledge, risk factors and screening behaviors among African Americans and Whites in the Deep South. One hundred and twenty three African Americans and Whites age-eligible for CRC screening were interviewed by telephone survey as part of a church-based CRC educational intervention. CRC knowledge was lower among those with less education, unemployed, Medicaid, Medicare, and less family income. Generally, participants who had more CRC knowledge were more likely to have engaged in screening behaviors. Participants who had a family history of CRC were more likely to have had a fecal occult blood test (OR = 2.55, 0.99–6.60) or barium enema (OR = 3.84, 1.44–10.24) than those without....

[Gastrointestinal Imaging] Gastrointestinal Fluoroscopy: What Are We Still Doing?

American Journal of Roentgenology — Tue, 21 Oct 2008 04:00:00 +0100

CONCLUSION. Although overall gastrointestinal fluoroscopy procedures continue to decline, the fall is not uniform. Nationwide Medicare data from 2001 to 2006 reveal that the volumes of barium enema and upper gastrointestinal studies suffered a steep drop, but the numbers of esophagograms and swallowing studies actually increased. These numbers highlight the challenge facing gastrointestinal fluoroscopy training and offer guidance for modifying curricula. (Source: American Journal of Roentgenology)

The diagnosis of carcinoma of the colon and rectum: A review of one hundred and eight cases

Irish Journal of Medical Science — Tue, 14 Oct 2008 11:01:15 +0100

Summary Rectal and colonic cancer is the commonest form of internal malignancy. When diagnosed early complete cure is possible in most cases. However, a review of 108 cases seen at the Richmond Hospital suggests that most patients complain for many months before the correct diagnosis is made. This is unfortunate as the symptoms and physical findings are diagnostic in the great majority of cases. In our series 74 per cent of patients had either a palpable rectal or abdominal mass, 68 per cent noticed a change in bowel habit, 59 per cent passed either blood or mucus in their stool and 47 per cent presented with severe crampy abdominal pains. Anaemia and weight loss were late symptoms and were only noticed in a minority of patients. We suggest that few bowel tumours ...

AUSTRALIAN AND NEW ZEALAND STUDY COMPARING LAPAROSCOPIC AND OPEN SURGERIES FOR COLON CANCER IN ADULTS: ORGANIZATION AND CONDUCT†

ANZ Journal of Surgery — Wed, 08 Oct 2008 04:00:00 +0100

This study shows that large cooperative Australia[ndash]New Zealand surgical trials can and should be carried out to address significant clinical issues. When possible, coherence with similar, concurrent international trial protocols ensures broader analyses and applicability of results. It is important to recognize that special attention to sustained funding, surgeon credentialing, clinical protocol standardization, data management, publication policy and the protection of study credibility is required from the outset. The Australasian Laparoscopic Colon Cancer Study will achieve its aims with 5-year assessments of all entered patients in March 2010. (Source: ANZ Journal of Surgery)

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Colorectal cancer screening guidelines revised

AuntMinnie.com Headlines — Tue, 07 Oct 2008 07:00:00 +0100

NEW YORK (Reuters Health), Oct 7 - Updated guidelines from the U.S. Preventive Services Task Force for colorectal cancer screening of asymptomatic individuals no longer endorse double-contrast barium enema as a primary test, and no longer recommend routine screening of asymptomatic individuals after 75 years of age. (Source: AuntMinnie.com Headlines)

Considering Double Contrast Barium Enema and Its Demise: A Case for Systematic Videorecording of Colonoscopy

The American Journal of Gastroenterology — Fri, 03 Oct 2008 04:00:00 +0100

Double contrast barium enema (DCBE) continues its decline. One area where DCBE and CT colonography surpass colonoscopy is in documentation. Colonoscopy could improve documentation by systematic videorecording of examinations (or at least of the withdrawal portions). Investigation of the impact of systematic videorecording of colonoscopy on quality, cost, and medical-legal risk is warranted. (Am J Gastroenterol 2008;103:1[ndash]3) (Source: The American Journal of Gastroenterology)

Rates of New or Missed Colorectal Cancer After Barium Enema and Their Risk Factors: A Population-Based Study

The American Journal of Gastroenterology — Fri, 03 Oct 2008 04:00:00 +0100

CONCLUSIONS: Physicians who use DCBE to evaluate the colon must inform their patients that if a cancer is present, there is an approximately one in five chance that it will be missed. Given the recent endorsement of CT colonography by the U.S. Multi-Society Task Force on Colorectal Cancer as an option for CRC screening, it may be time to reconsider the use of DCBE to detect CRC. (Am J Gastroenterol 2008;103:1[ndash]7) (Source: The American Journal of Gastroenterology)

Perineal hernia

Emergency Radiology — Wed, 01 Oct 2008 09:19:45 +0100

Abstract Abdominal wall hernias are a common abdominal pathology with higher prevalence in our population. It is usually asymptomatic but complications such as strangulation, incarceration or bowel obstruction need early detection and emergency surgery. The purpose of this article is to describe the infrequent type of hernia, illustrate the imaging findings and review the differential diagnosis. A 76-year-old woman was admitted in the emergency room with abdominal pain, vomits and diarrhoea. At her admission, a colonoscopy was attempted to perform but it was not possible to go beyond the stenosis. A barium enema and a multi-detector computed tomography (MDCT) were performed revealing a large mass in the left ischiorectal fossa, containing herniated loops of sigmoid colon a...

Colon imaging in radiology departments in 2008: goodbye to the routine double contrast barium enema.

Canadian Association of Radiologists Journal — Wed, 01 Oct 2008 04:00:00 +0100

Authors: Stevenson G We radiologists are free to choose DCBE or CTC when patients are referred to us for colonic examination. The studies reported during 2007 have confirmed that CTC is more accurate, preferred by patients, with a shorter room time, fewer complications, lower radiation exposure, and reveals therapeutically significant extracolonic lesions in 5% to 10% of cases, so that it is beginning to seem rather irresponsible to continue to offer routine DCBE examinations. In older patients the yield of extracolonic abnormalities is even greater, with 505 abnormalities found in 268 of 400 consecutive patients aged 70 years and older, including 23 extracolonic malignancies. More than 90 Canadian radiology departments have bought the necessary carbon dioxide insufflators, so there is...

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Botulinium toxin, as bridge to transanal pullthrough in neonate with Hirschsprungs disease

Journal of Indian Association of Pediatric Surgeons — Fri, 19 Sep 2008 10:13:36 +0100

Conclusion:</b> Botulinium toxin injection can help in palliative care in patients with Hirschsprung disease who are waiting for colostomy or definitive pullthrough. It gives an option of eaiser home care for these patients. (Source: Journal of Indian Association of Pediatric Surgeons)

Botulinium toxin, as bridge to transanal pullthrough in neonate with Hirschsprungs disease

Journal of Indian Association of Pediatric Surgeons — Tue, 16 Sep 2008 10:17:01 +0100

A dual benefit of sacral neuromodulation.

Surgical Innovation — Mon, 01 Sep 2008 04:00:00 +0100

Authors: Indar A, Young-Fadok T, Cornella J Sacral neuromodulation is a therapeutic option for women with detrusor overactivity and more recently has been used in patients with fecal incontinence and slow-transit constipation. A 47-year-old woman presented with chronic constipation since childhood. She used multiple laxatives, fiber supplements, and enemas, all without success, and defecated only once per week. Extensive investigations, including barium enema, colonoscopy, defecating proctography, pelvic magnetic resonance imaging, and anorectal manometry all were normal. A transit study showed delayed small-bowel emptying. Colonic transit could not be accurately interpreted because of the marked delayed in proximal transit. An ileostomy was being considered to defunction the colon aft...

Outcomes in the management of gastrocolic fistulas: A single surgical unit's experience.

The Turkish Journal of Gastroenterology — Mon, 01 Sep 2008 04:00:00 +0100

Conclusion: Gastrocolic fistula should be suspected in patients with chronic diarrhea and vomiting of unknown cause with a high suspicion of gastrointestinal malignancy. PMID: 19115149 [PubMed - as supplied by publisher] (Source: The Turkish Journal of Gastroenterology)

Validation of a Questionnaire to Assess Self-Reported Colorectal Cancer Screening Status Using Face-to-Face Administration

Digestive Diseases and Sciences — Sun, 24 Aug 2008 19:59:42 +0100

Conclusions The modified questionnaire was highly sensitive for determining if a person was up-to-date for any colorectal cancer screening test, although the specificity was low. Given the difficulty of obtaining all relevant records, self-report using this questionnaire is a reasonable option for identifying people who have undergone testing. Content Type Journal ArticleCategory ORIGINAL ARTICLEDOI 10.1007/s10620-008-0471-zAuthors Deborah A. Fisher, Durham Veterans Affairs Medical Center Center for Health Services Research in Primary Care 508 Fulton Street, Building 6 Durham NC 27705 USACorrine I. Voils, Durham Veterans Affairs Medical Center Center for Health Services Research in Primary Care 508 Fulton Street, Building 6 Durham NC 27705 USACynthia J. Coffman, Durham Veterans Affa...

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The value of auditing negative lower GI investigations preceding a final diagnosis of colorectal cancer

Colorectal Disease — Thu, 21 Aug 2008 23:00:00 +0100

Conclusions Colonoscopic miss rates are in line with previous studies. The application of simple clinical ground rules will avoid most pitfalls. The methodology described herein may assist in auditing the quality assurance of lower gastrointestinal diagnostic services. Despite the delay, late diagnosis was found to be associated with improved survival and a lower likelihood of metastatic disease. (Source: Colorectal Disease)

Is There a Role for Magnetic Resonance Imaging in Diagnosing Colovesical Fistulas?

Urology — Tue, 19 Aug 2008 04:00:00 +0100

CONCLUSIONS: The results of our study have shown that MRI is an accurate method of evaluating patients with suspicion of colovesical fistulas, identifying the anatomy of the tract, as well as the etiology. This is not only useful for diagnosis, but also for surgical planning. PMID: 18718640 [PubMed - as supplied by publisher] (Source: Urology)

Rectal submucosal tumor-like lesion originating from intestinal tuberculosis

Journal of Gastroenterology — Sun, 17 Aug 2008 13:35:09 +0100

We present the case of a 55-year-old man who underwent transsacral local excision for a rectal submucosal tumor-like lesion suspected to originate from tuberculosis. The lesion, 2 cm in size, was found incidentally in the posterior wall of the lower rectum during anal fistulectomy. The lesion was apart from the primary crypt of the anal fistula. Barium enema and colonoscopy revealed a protuberant submucosal growth with a shallow depression of the overlying mucosa. Although computed tomography and magnetic resonance imaging showed a well defined round mass within the rectal wall, digital rectal examination suggested extramural origin. Since repeated endoscopic biopsies were negative, we selected the transsacral approach for excisional biopsy to achieve histological diagnosis. The lesi...

Subtotal colectomy with antiperistaltic cecoproctostomy for selected patients with slow transit constipation—from Chinese report

International Journal of Colorectal Disease — Tue, 12 Aug 2008 07:28:40 +0100

Conclusions Compared to the TAC-IRA, subtotal colectomy with end-to-end antiperistaltic cecoproctostomy for appropriately selected patients with STC resulted in relief of constipation, satisfactory functional outcome, and improved qualities of life. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-008-0552-7Authors Cong-Qing Jiang, Wuhan University Department of Colorectal Surgery, Zhongnan Hospital Wuhan 430071 People’s Republic of ChinaQun Qian, Wuhan University Department of Colorectal Surgery, Zhongnan Hospital Wuhan 430071 People’s Republic of ChinaZhi-Su Liu, Wuhan University Department of Colorectal Surgery, Zhongnan Hospital Wuhan 430071 People’s Republic of ChinaGassimou Bangoura, Wuhan University Department of Colorectal Surgery, ...

Possible Link Found Between X-rays And Prostate Cancer

Cancercompass News: Prostate Cancer — Sat, 09 Aug 2008 05:00:00 +0100

Researchers at The University of Nottingham have shown an association between certain past diagnostic radiation procedures and an increased risk of young-onset prostate cancer a rare form of prostate cancer which affects about 10 per cent of all men diagnosed with the disease. The study, the first of its kind to report the relationship between low dose ionising radiation from diagnostic procedures and the risk of prostate cancer, was funded by the Prostate Cancer Research Foundation (PCRF) and is part of the UK Genetic Prostate Cancer Study (UKGPCS). The results of the study have been published online in the British Journal of Cancer. The study showed that men who had a hip or pelvic X-ray or barium enema 10 years previously were two... (Source: Cancercompass News: Prostate Cancer)

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Colonic Perforation as a Complication of Collagenous Colitis in a Series of 12 Patients

The American Journal of Gastroenterology — Fri, 08 Aug 2008 04:00:00 +0100

CONCLUSIONS: This is the largest published series to date, and the first to uncover several novel clinicopathologic features of perforation in collagenous colitis, including the right colonic predilection (corresponding to disease severity), the association with not only colonoscopy, but also barium enema, the occurrence of recognizable perforation actually developing during the procedure, and a more detailed information on the marked histologic severity of these patients' collagenous colitis. An awareness of this rare but potentially fatal complication of collagenous colitis may facilitate its diagnosis and management. (Am J Gastroenterol 2008;103:1[ndash]7) (Source: The American Journal of Gastroenterology)

A case of adenosquamous carcinoma of the ascending colon.

Journal of Nippon Medical School — Fri, 01 Aug 2008 04:00:00 +0100

We present herein a case of adenosquamous carcinoma of the ascending colon. The patient was a 94-year-old woman who presented with a chief complaint of lower abdominal pain. A barium enema examination and lower gastrointestinal endoscopy showed a type 3 tumor in the ascending colon, and a biopsy confirmed the diagnosis of adenosquamous carcinoma. Right hemicolectomy was performed, and the tumor was diagnosed as a stage III advanced colon cancer. The patient had postoperative aspiration pneumonia and died 35 days after surgery. A search of Japanese literature over the past 25 years yielded 70 patients with adenosquamous carcinoma of the colon, and the clinicopathological features are discussed herein. PMID: 18781050 [PubMed - in process] (Source: Journal of Nippon Medical School)

X-ray exams linked to early-onset prostate cancer

MedWire News - Consumer Health — Thu, 31 Jul 2008 22:52:38 +0100

Men who have undergone X-ray examinations of the hip and pelvis, and those who have undergone a barium enema, both of which use low doses of radiation, may face an increased risk of early-onset prostate cancer, say researchers. (Source: MedWire News - Consumer Health)

[Gastrointestinal Imaging] Chronic Diverticulitis: Clinical, Radiographic, and Pathologic Findings

American Journal of Roentgenology — Tue, 22 Jul 2008 04:00:00 +0100

CONCLUSION. Chronic diverticulitis is a distinct pathologic entity characterized by the frequent development of chronic obstructive symptoms and abdominal pain rather than the classic clinical findings of acute sigmoid diverticulitis. Barium enema examinations usually reveal a relatively long segment of circumferential narrowing in the sigmoid colon with a spiculated contour and tapered margins, sometimes associated with retrograde obstruction. Our experience suggests that chronic diverticulitis can often be diagnosed on the basis of the characteristic clinical and radiographic findings in these patients. (Source: American Journal of Roentgenology)

[Guidelines] Asia Pacific consensus recommendations for colorectal cancer screening

Gut — Tue, 15 Jul 2008 04:00:00 +0100

Colorectal cancer (CRC) is rapidly increasing in Asia, but screening guidelines are lacking. Through reviewing the literature and regional data, and using the modified Delphi process, the Asia Pacific Working Group on Colorectal Cancer and international experts launch consensus recommendations aiming to improve the awareness of healthcare providers of the changing epidemiology and screening tests available. The incidence, anatomical distribution and mortality of CRC among Asian populations are not different compared with Western countries. There is a trend of proximal migration of colonic polyps. Flat or depressed lesions are not uncommon. Screening for CRC should be started at the age of 50 years. Male gender, smoking, obesity and family history are risk factors for colorectal neoplasia. ...

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Iatrogenic rectal diverticulum in patients treated with transanal stapled techniques

La Radiologia Medica — Fri, 11 Jul 2008 07:24:25 +0100

Conclusions The use of endorectal stapling devices can lead to focal weakness at the point of surgical suture on the rectal wall and predispose to the development of rectal diverticula. Content Type Journal ArticleCategory Gastrointestinal radiology/Radiologia gastrointestinaleDOI 10.1007/s11547-008-300-7Authors M. E. Alabiso, PO Cardinale Ascalesi-ASL Na 1 UOC di Radiologia Via Egiziaca a Forcella 32 Napoli ItalyR. Grassi, F. Magrassi, A. Lanzara, Sezione Scientifica di Diagnostica per Immagini- Dipartimento di Internistica Clinica e Sperimentale SUN Napoli ItalyC. Fioroni, Ospedale Santa Maria della Misericordia, Azienda Ospedaliera di Perugia Dipartimento di Diagnostica per Immagini 06156 Perugia ItalyI. Marano, PO Cardinale Ascalesi-ASL Na 1 UOC di Radiologia Via E...

Do patients require outpatient follow-up after rapid referral double contrast barium enema?

Colorectal Disease — Mon, 07 Jul 2008 23:00:00 +0100

Conclusion Double contrast barium enema is a safe screening tool following a '2-week rule' referral with CIBH. Following a report of no significant pathology, there is no need to arrange routine follow-up. (Source: Colorectal Disease)

Evaluation of whole-body cancer screening using 18F-2-deoxy-2-fluoro-d -glucose positron emission tomography: a preliminary report

Annals of Nuclear Medicine — Fri, 04 Jul 2008 06:02:05 +0100

Conclusions FDG-PET can detect a variety of cancers at an early stage as part of a whole-body screening modality. The detection rate of PET cancer screening was higher than that of other screening modalities, which had already shown evidence of efficacy. However, the sensitivity of PET cancer screening was lower than that of other thorough examinations performed at our institute. FDG-PET has some limitations, and cancer screening using only FDG-PET is likely to miss some cancers. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s12149-008-0130-7Authors Takashi Terauchi, National Cancer Center Screening Technology and Development Division, Research Center for Cancer Prevention and Screening 5-1-1 Tsukiji, Chuo-ku Tokyo 104-0045 JapanTakeshi Murano, Nat...

Do radiologic studies correlate with each other and with surgical findings in intussusception?

The Turkish Journal of Pediatrics — Tue, 01 Jul 2008 04:00:00 +0100

Authors: Yalçin S, Ciftçi AO, Karaağaoğlu E, Haliloğlu M, Senocak ME, Tanyel FC, Büyükpamukçu N In this research, we aimed to evaluate the accordance of radiologic study results with each other and with surgical findings with regard to presence and/or absence of intussusception. One hundred and seventy-nine patients treated for intussusception between 1993 and 2003 inclusive were retrospectively reviewed to compare results of initial ultrasonography, colonography, followup ultrasonography after conservative management (reduction with barium enema and/or air insufflation) and surgical findings to determine their accordance within each other with regard to diagnosis of intussusception. Results of initial ultrasonography were not in accordance wi...

Giant colonic diverticulum

Irish Journal of Medical Science — Thu, 12 Jun 2008 06:14:03 +0100

Conclusion Giant colonic diverticuli are rare surgical curiosities that may be successfully treated with either primary segmental or extended colonic resection Content Type Journal ArticleCategory Case ReportDOI 10.1007/BF02914523Authors P Neary, Castlehill Hospital Academic Surgical Unit Hull East Yorkshire UKV Kurli, Castlehill Hospital Academic Surgical Unit Hull East Yorkshire UKA Nicholson, Castlehill Hospital Academic Surgical Unit Hull East Yorkshire UKAW MacDonald, Castlehill Hospital Academic Surgical Unit Hull East Yorkshire UKJRT Monson, Castlehill Hospital Academic Surgical Unit Hull East Yorkshire UK Journal Irish Journal of Medical ScienceOnline ISSN 1863-4362Print ISSN 0021-1265 Journal Volume Volume 173 Journal Issue Volume 173, Number 1 / January, 2004...

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Gastrojejunocolic fistula after gastrojejunostomy: a case series

BioMed Central — Wed, 04 Jun 2008 04:00:00 +0100

Conclusion: With surgery, this condition is entirely correctable. Pre-operative nutritional status should be evaluated in patients undergoing corrective surgery, and total parenteral nutrition plays a major role in the provision of bowel rest to allow recovery in malnourished patients. (Source: BioMed Central)

Rectal diverticulum: a new complication of STARR procedure for obstructed defecation

Techniques in Coloproctology — Fri, 30 May 2008 06:01:37 +0100

We report a case of rectal diverticulum developed after stapled transanal rectal resection (STARR) procedure for obstructed defecation. A 21-year-old woman with chronic constipation was diagnosed with a rectocele at defecography. The patient underwent STARR procedure. Six months later, she presented with severe constipation requiring enemas and a worse condition than that preoperatively. Defecography and rectoscopy revealed a rectal wall diverticulum cavity with incomplete elimination of barium enema. The patient underwent transanal diverticulectomy and direct rectal wall repair. STARR procedure can produce new and difficult-to-treat complications and should be reserved for expert colorectal surgeons with proved familiarity in transanal surgery. Content Type Journal ArticleCategor...

Transanal one-stage endorectal pull-through for Hirschsprung’s disease: a comparison with the staged procedures

Pediatric Surgery International — Fri, 30 May 2008 05:57:46 +0100

Abstract Transanal one-stage endorectal pull-through (TOSEPT) has been presented as the most recent progression in treatment of Hirschsprung’s disease (HD), which may be able to replace various previous techniques. This prospective study was designed to compare the efficacy and probable complications of the commonly used open surgery with those of TOSEPT technique in management of HD. Forty-two children (35 boys and 7 girls) between 3 days and 12 years of age underwent surgical treatment for HD—all after being diagnosed by barium enema over an 18-month period. In a manner of systematic random selection, 21 patients were operated by TOSEPT and the other 21 by Swenson procedures. All patients were followed-up at least for 12 months after hospital discharge....

Diagnostic radiation procedures and risk of prostate cancer.

Cancer Control — Thu, 29 May 2008 14:14:17 +0100

Authors: Myles P, Evans S, Lophatananon A, Dimitropoulou P, Easton D, Key T, Pocock R, Dearnaley D, Guy M, Edwards S, O'Brien L, Gehr-Swain B, Hall A, Wilkinson R, Eeles R, Muir K Exposure to ionising radiation is an established risk factor for many cancers. We conducted a case-control study to investigate whether exposure to low dose ionisation radiation from diagnostic x-ray procedures could be established as a risk factor for prostate cancer. In all 431 young-onset prostate cancer cases and 409 controls frequency matched by age were included. Exposures to barium meal, barium enema, hip x-rays, leg x-rays and intravenous pyelogram (IVP) were considered. Exposures to barium enema (adjusted odds ratio (OR) 2.06, 95% confidence interval (CI) 1.01-4.20) and hip x-rays (adjusted OR 2.23, ...

Anorectal Electromanometrical Patterns in Children with Isolated Neuronal Intestinal Dysplasia

European Journal of Pediatric Surgery — Thu, 22 May 2008 16:35:54 +0100

Eur J Pediatr Surg 2008; 18: 176-179DOI: 10.1055/s-2008-1038501Abstract The aim of this study was to report our new findings on anorectal electromanometrical patterns in patients with isolated neuronal intestinal dysplasia (IND) type B. We reviewed and analyzed the records of preoperative anorectal electromanometric examinations in 17 patients (10 male and 7 female) with IND. The diagnosis of IND was made based on a pathological examination. Mean age of the patients was 6.3 years (range 4 months to 16 years). In the preoperative barium enema study, a narrowed distal segment with proximal dilatation was noted in 8 patients, dilatation of the sigmoid or rectum without a narrowed distal segment was observed in 4 patients, and no specific findings were found in 5 patients. Out of 17 patients, ...

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Stomach - Successful Treatment of a Completely Obstructed Anastomotic Stricture Using a Prototype Forwarding Viewing Echoendoscope

The Digital Atlas of Video Education - Gastroenterology — Mon, 19 May 2008 07:05:59 +0100

We report a difficult case of a 40F with colonic Crohn's disease who developed a completely obstructed anastomotic stricture. She underwent sigmoidectomy with a temporary diverting ileostomy 4 months prior to presentation for an inflammatory, fibrotic stricture. Prior to ileostomy takedown, she underwent colonoscopy at an outside institution, and this demonstrated a tight anastomotic stricture at about 10cm from the anal verge. A barium enema confirmed the presence of a focal anastomotic stricture (show BE). She was then referred to our unit for endoscopic treatment. At a 4 week interval our endoscopic examination of the anastomotic site revealed a completely obstructed lumen with only a staple visible to mark the distal aspect of the anastomosis. We then used a prototype front view ec...

Colon - Successful Treatment of a Completely Obstructed Anastomotic Stricture Using a Prototype Forwarding Viewing Echoendoscope

The Digital Atlas of Video Education - Gastroenterology — Mon, 19 May 2008 07:05:59 +0100

[Editor's quiz] Barium enema: diagnosis and an unusual discovery

Gut — Tue, 13 May 2008 04:00:00 +0100

(Source: Gut)

Cancer screening before and after switching to a high-deductible health plan.

Annals of Internal Medicine — Tue, 06 May 2008 04:00:00 +0100

CONCLUSION: Members of a high-deductible health plan did not seem to change their use of breast, cervical, and colorectal cancer screening when tests were fully covered. However, members may have substituted a fully covered screening test (FOBT) for tests subject to the deductible (colonoscopy, flexible sigmoidoscopy, and DCBE). PMID: 18458277 [PubMed - in process] (Source: Annals of Internal Medicine)

[Clinical analyses of 70 cases of multiple primary colorectal carcinoma.]

Chinese Journal of Cancer — Thu, 01 May 2008 04:00:00 +0100

CONCLUSIONS: The occurrence of MPCC is largely related with adenomas and polyps. The extent of resection should be individually determined by the lesion location, range, the distance of lesions as well as the general condition of the patients. Prognosis of MPCC is relatively good. The patients accompanying with adenoma and multiple polyps should be followed up intensively. PMID: 18479600 [PubMed - in process] (Source: Chinese Journal of Cancer)

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Cancer risks from diagnostic radiology.

The British Journal of Radiology — Thu, 01 May 2008 04:00:00 +0100

Authors: Hall EJ, Brenner DJ In recent years, there has been a rapid increase in the number of CT scans performed, both in the US and the UK, which has fuelled concern about the long-term consequences of these exposures, particularly in terms of cancer induction. Statistics from the US and the UK indicate a 20-fold and 12-fold increase, respectively, in CT usage over the past two decades, with per caput CT usage in the US being about five times that in the UK. In both countries, most of the collective dose from diagnostic radiology comes from high-dose (in the radiological context) procedures such as CT, interventional radiology and barium enemas; for these procedures, the relevant organ doses are in the range for which there is now direct credible epidemiological evidence of an excess...

Hirschsprung disease and hypoganglionosis in adults: radiologic findings and differentiation.

Radiology — Thu, 24 Apr 2008 21:48:44 +0100

CONCLUSION: A markedly dilated proximal colonic segment with a transition zone and a narrowed distal colonic segment on CT and double-contrast barium enema images in conjunction with chronic refractory constipation in an adult should suggest the diagnosis of adult HD or adult HG. The detection of a much higher transition zone ratio may help to establish the diagnosis of HD. PMID: 18430875 [PubMed - in process] (Source: Radiology)

Colorectal carcinoma: Etiology, diagnosis, and screening

Comprehensive Therapy — Fri, 11 Apr 2008 06:03:01 +0100

Summary Colorectal carcinoma is the second leading cause of death from cancer in the United States. High-risk patients are those older than age 40 years with a family history of colorectal cancer or polyps, those with a previous history of colorectal cancer or polyps, those with inflammatory bowel disease, and African-Americans. Screening techniques that look for adenomatous polyps, the precursor of most colorectal carcinomas, are easily available and well tolerated. Cost-effective procedures such as fecal occult blood screening, flexible sigmoidoscopy, colonoscopy, and double-contrast barium enema can be used in various combinations to fit the needs of patients for screening. The results of screening have led to a decrease in the mortality rate from colorectal carcinoma...

Laparoscopic total colectomy for colonic inertia: surgical and functional results

Surgical Endoscopy — Thu, 10 Apr 2008 06:51:10 +0100

Conclusion The laparoscopic access is a safe technique with satisfactory functional results after medium-term follow-up. Content Type Journal ArticleDOI 10.1007/s00464-008-9901-4Authors George Pinedo, Pontificia Universidad Católica de Chile Colorectal Unit, Digestive Surgery Department Marcoleta 367 Santiago ChileAlejandro Jose Zarate, Pontificia Universidad Católica de Chile Colorectal Unit, Digestive Surgery Department Marcoleta 367 Santiago ChileEduardo Garcia, Pontificia Universidad Católica de Chile Colorectal Unit, Digestive Surgery Department Marcoleta 367 Santiago ChileMaria Elena Molina, Pontificia Universidad Católica de Chile Colorectal Unit, Digestive Surgery Department Marcoleta 367 Santiago ChileFrancisco Lopez, Pontificia Universidad Católica de Chi...

Risk factors for advanced sporadic colorectal neoplasia in persons younger than age 50.

Cancer Detection and Prevention — Mon, 07 Apr 2008 04:00:00 +0100

Conclusions: The low recruitment rate of this retrospective case-control study precludes its use for a larger, more definitive study. Several potential risk factors for advanced sporadic CRN were identified. It remains to be determined whether these factors represent an artifact of selection bias or true risk factors that may be used to stratify risk and target screening in persons under age 50. PMID: 18400417 [PubMed - as supplied by publisher] (Source: Cancer Detection and Prevention)

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Radiological anatomy of the sigmoid colon

Surgical and Radiologic Anatomy — Thu, 03 Apr 2008 08:13:59 +0100

Conclusion African patients had the longest combined length of the rectum and sigmoid colon translating into a long sigmoid colon. They also had the highest number of redundant sigmoid colon. This may explain the high incidence of sigmoid volvulus in African patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00276-008-0344-3Authors T. E. Madiba, University of KwaZulu-Natal Department of Surgery Congella Private Bag 7 Durban 4013 South AfricaM. R. Haffajee, University of KwaZulu-Natal Department of Clinical Anatomy Durban South AfricaM. H. Sikhosana, University of KwaZulu-Natal Department of Surgery Congella Private Bag 7 Durban 4013 South Africa Journal Surgical and Radiologic AnatomyOnline ISSN 1279-8517Print ISSN 0930-1038 (Source: Su...

Surgical and pathological outcomes of laparoscopic surgery for transverse colon cancer

International Journal of Colorectal Disease — Tue, 01 Apr 2008 07:00:56 +0100

Conclusions Laparoscopic surgery for transverse colon cancer and OSCC had similar peri-operative clinical and acceptable pathological outcomes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-008-0471-7Authors Y. S. Lee, The Catholic University of Korea Department of Surgery Seoul South KoreaI. K. Lee, The Catholic University of Korea Department of Surgery Seoul South KoreaW. K. Kang, The Catholic University of Korea Department of Surgery Seoul South KoreaH. M. Cho, The Catholic University of Korea Department of Surgery Seoul South KoreaJ. K. Park, The Catholic University of Korea Department of Surgery Seoul South KoreaS. T. Oh, The Catholic University of Korea Department of Surgery Seoul South KoreaJ. G. Kim, The Catholic University of Korea De...

Complications of collagenous colitis.

World Journal of Gastroenterology — Thu, 20 Mar 2008 19:48:51 +0100

Authors: Freeman HJ Microscopic forms of colitis have been described, including collagenous colitis. This disorder generally has an apparently benign clinical course. However, a number of gastric and intestinal complications, possibly coincidental, may develop with collagenous colitis. Distinctive inflammatory disorders of the gastric mucosa have been described, including lymphocytic gastritis and collagenous gastritis. Celiac disease and collagenous sprue (or collagenous enteritis) may occur. Colonic ulceration has been associated with use of nonsteroidal anti-inflammatory drugs, while other forms of inflammatory bowel disease, including ulcerative colitis and Crohn's disease, may evolve from collagenous colitis. Submucosal "dissection", colonic fractures or mucosal tears and perforat...

[Gastrointestinal Imaging] Barium Enema Evaluation of Colonic Involvement in Endometriosis

American Journal of Roentgenology — Thu, 20 Mar 2008 04:00:00 +0100

CONCLUSION. DCBE is helpful in discerning bowel wall involvement in endometriosis, enabling proper surgical planning. DCBE also appears to have a role in the management of endometriosis. (Source: American Journal of Roentgenology)

Use of colorectal cancer tests--United States, 2002, 2004, and 2006.

MMWR Morb Mortal Wkl... — Fri, 14 Mar 2008 04:00:00 +0100

This report describes the results of that comparison, which indicated that the proportion of respondents aged > or =50 years reporting use of FOBT and/or sigmoidoscopy or colonoscopy increased overall from 2002 to 2006; however, certain populations, such as racial/ethnic minorities and those who reported no health insurance coverage, had lower prevalence of testing. Specific measures to increase colorectal cancer screening and address disparities in screening are needed. PMID: 18340331 [PubMed - in process] (Source: MMWR Morb Mortal Wkl...)

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Dark-lumen MR colonography with fecal tagging: a comparison of water enema and air methods of colonic distension for detecting colonic neoplasms

European Radiology — Wed, 05 Mar 2008 07:49:28 +0100

Abstract The purpose was to evaluate MR colonography (MRC) with barium fecal tagging in detecting colorectal pathology and to determine how air-based and water-based colonic distension influences MRC. We studied 83 patients with high risk of colonic neoplasms. All received oral barium sulfate for colonic preparation before unenhanced and enhanced T1-weighted gradient-echo MRC using either water (n=54) or air (n=29) for colonic distension. Fecal tagging, distension, and artifacts were recorded. All patients underwent conventional colonoscopy within 2 weeks of MRC; the techniques were compared for detection of malignant neoplasms and polyps ≥1 cm, 6–9 mm, and ≤5 mm. Fecal tagging was “good” in 76% of the colonic segments in water-distended patien...

Is There Still a Role for Double-Contrast Barium Enema Examination?

Clinical Gastroenterology and Hepatology — Mon, 03 Mar 2008 05:00:00 +0100

Authors: Canon CL The role of double-contrast barium enema examination (DCBE) in screening for colorectal carcinoma has evolved considerably in recent years. This review will discuss the current indications for DCBE and contrast fluoroscopy of the colon and the anticipated future role of these studies. PMID: 18321788 [PubMed - as supplied by publisher] (Source: Clinical Gastroenterology and Hepatology)

Screening for colorectal cancer.

Gastroenterology Clinics of North America — Sat, 01 Mar 2008 05:00:00 +0100

This article reviews methods for screening, including fecal occult blood tests, flexible sigmoidoscopy, colonoscopy, CT colonography, capsule endoscopy, and double contrast barium enema. A simple, inexpensive, noninvasive, and relatively sensitive screening test is needed to identify people at risk for developing advanced adenomas or colorectal cancer who would benefit from colonoscopy. It is hoped that new markers will be identified that perform better. Until then we fortunately have a variety of screening strategies that do work. PMID: 18313542 [PubMed - in process] (Source: Gastroenterology Clinics of North America)

In patients presenting with occasional rectal bleeding, with a history of IBS and previous diagnosis of haemorrhoids, when should they be referred for a repeat colonoscopy or barium enema?

NLH Question Answering Service — Mon, 25 Feb 2008 16:23:40 +0100

This is a difficult question to answer given the symptoms of IBS and haemorrhoids are common to colorectal cancer. We were able to find only general guidance concerning referral of patients with rectal bleeding for investigation for suspected gastrointestinal cancer. (Source: NLH Question Answering Service)

Uretero-appendiceal fistula

International Journal of Urology — Tue, 05 Feb 2008 08:24:49 +0100

We report a case of uretero-appendiceal fistula. A 63-year-old woman was admitted to our hospital with high grade fever and loss of 5 kg of body weight over 6 months. Pyonephrosis was diagnosed. A retrograde ureterogram and barium enema showed ... (Source: International Journal of Urology)

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Computed tomographic air-contrast enema imaging for presurgical examination of colon tumors: assessment with colon phantoms and in patients

Radiation Medicine — Thu, 31 Jan 2008 15:55:16 +0100

Conclusion Although CT enema imaging allows reasonable diagnostic accuracy of T staging, wall deformity is thought to be consistent with tumor infiltration and other factors. We recommend evaluating T staging using not only CT enema imaging but also other techniques, such as virtual endoscopy, axial imaging, and multiplanar reformation imaging. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11604-007-0185-8Authors Yasuyo Kayashima, Saitama Medical University International Medical Center Department of Radiology 1397-1 Yamane Hidaka 350-1298 JapanFumiko Kimura, Saitama Medical University International Medical Center Department of Radiology 1397-1 Yamane Hidaka 350-1298 JapanKaiji Inoue, Saitama Medical University International Medical Center Departmen...

Noninvasive diagnostic modalities for early detection of colorectal cancer

Current Colorectal Cancer Reports — Thu, 31 Jan 2008 15:46:11 +0100

Abstract Colorectal cancer (CRC) screening strategies currently approved are colonoscopy every 10 years, annual fecal occult blood testing (FOBT), flexible sigmoidoscopy every 5 years, annual FOBT plus flexible sigmoidoscopy, and double-contrast barium enema every 5 years. Colonoscopy has been shown to be preferable, but it is invasive, needs bowel preparation, entails a risk of perforation, and is highly operator-dependent. Several noninvasive strategies are being developed as alternatives to colonoscopy. CT colonography (CTC), also known as virtual colonoscopy, has widely variable results but has been shown to have acceptable cost-effectiveness at either 5-year or 10-year intervals, whether it is performed using two-dimensional or three-dimensional techniques. Fecal immu...

The effect of offering different numbers of colorectal cancer screening test options in a decision aid video: a pilot randomized trial

BMC Medical Informatics and Decision Making - Latest articles — Thu, 24 Jan 2008 05:00:00 +0100

Conclusions: The number of screening options available does not appear to have a large effect on interest in colorectal cancer screening. The effect of offering differing numbers of options may affect test choice when out-of-pocket costs are not considered. (Source: BMC Medical Informatics and Decision Making - Latest articles)

[Gastrointestinal Imaging] Critical Analysis of the Performance of Double-Contrast Barium Enema for Detecting Colorectal Polyps >= 6 mm in the Era of CT Colonography

American Journal of Roentgenology — Tue, 22 Jan 2008 05:00:00 +0100

CONCLUSION. DCBE has statistically lower sensitivity and specificity than CTC for detecting colorectal polyps ≥ 6 mm. (Source: American Journal of Roentgenology)

Ileal schwannoma developing into ileocolic intussusception.

World Journal of Gastroenterology — Sat, 19 Jan 2008 21:33:42 +0100

We describe a 47-year-old man with ileal schwannoma that led to ileocolic intussusception. Abdominal ultrasonography, abdominal CT scan and barium enema confirmed an ileal tumor. Colonoscopy revealed a peduncular submucosal tumor (SMT) 75 mm long with an ulcerated apex at the ascending colon. The provisional diagnosis was a gastrointestinal stromal tumor of the terminal ileum. Ileocecal resection was carried out and the tumor was histologically diagnosed as schwannoma. Abdominal pain resolved postoperatively. This case reminds us that ileal schwannoma should be included in the differential diagnosis of intussusception caused by an SMT in the intestine. PMID: 18203302 [PubMed - in process] (Source: World Journal of Gastroenterology)

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An unusual case of colonic leiomyosarcoma presenting with fever

Journal of Gastroenterology — Wed, 16 Jan 2008 15:53:17 +0100

Summary Leiomyosarcoma of the large intestine, excluding the rectum, is a rare lesion and only 58 cases have been previously reported. Significant uptake of radioactivity of gallium-67 to the tumor has not been reported and this report may be the first case. Although preoperative diagnosis is considered to be difficult, barium enema study and colonofiberscopy disclosed the findings suggesting extracolic growth of the tumor in our case, which are thought to be characteristics of nonepithelial tumors. Gallium-67 citrate scanning may be useful for confirming the diagnosis. Content Type Journal ArticleCategory Case ReportDOI 10.1007/BF02807262Authors Akio Suzuki, Hirosaki University School of Medicine First Department of Internal Medicine 5 Zaifu-cho 036 Hirosaki City Japan...

Hand-assisted laparoscopic total colectomy for slow transit constipation

International Journal of Colorectal Disease — Mon, 14 Jan 2008 03:46:02 +0100

Conclusion Hand-assisted laparoscopic total colectomy could be a safe and efficient technique in the treatment of STC. Content Type Journal ArticleCategory 0riginal ArticleDOI 10.1007/s00384-007-0431-7Authors Kevin C. W. Hsiao, Tri-Service General Hospital, National Defense Medical Center Division of Colon and Rectum Surgery, Department of Surgery No. 325, Section 2, Cheng-Kung Road, Neihu 114 Taipei Taiwan, Republic of ChinaShu-Wen Jao, Tri-Service General Hospital, National Defense Medical Center Division of Colon and Rectum Surgery, Department of Surgery No. 325, Section 2, Cheng-Kung Road, Neihu 114 Taipei Taiwan, Republic of ChinaChang-Chieh Wu, Tri-Service General Hospital, National Defense Medical Center Division of Colon and Rectum Surgery, Department of Surgery...

Meta-analysis of air contrast barium enema, computed tomography colonography, and colonoscopy.

The American Journal of Medicine — Tue, 01 Jan 2008 05:00:00 +0100

Authors: Smith LA, Sidhu P, Sidhu S, Rembacken B PMID: 18187060 [PubMed - in process] (Source: The American Journal of Medicine)

Growth rates of colorectal carcinoma and adenoma by roentgenologic follow-up observations

Journal of Gastroenterology — Fri, 28 Dec 2007 16:30:29 +0100

Summary During the last 15 years, seventeen patients with polypoid lesions or carcinoma in the colon or rectum were repeatedly examined with barium enemas. The doubling time of these colorectal tumors was calculated according to Spratt’s theory of the growth rate of neoplasms. The doubling times of 6 carcinomas varied from 92.4 to 1032.2 days with those of early carcinomas being much shorter than those of advanced lesions. Advanced lesions of the proximal colon had a shorter doubling time than those of the distal colon. The doubling times of 6 adenomatous polyps ranged from 146.5 to 398.5 days, thus coinciding with the time interval of the carcinomas. However, 5 other adenomatous polyps did not grow during the follow-up period which ranged from 420 to 816 days. There ...

Comparative studies on the usefulness of phosphate versus glycerin enema in preparation for colon examinations

Journal of Gastroenterology — Sun, 23 Dec 2007 18:54:25 +0100

Summary Fifty of 100 persons who had undergone health screening received phosphate enema while the other 50 received glycerin enema prior to proctoscopy and barium enema, and their usefulness for preparation for colon examination was compared by a double-blind test. There was no significant difference in the degree of colonic cleansing achieved by proctoscopy and barium enema. In the subjects who received phosphate enema, the incidence of abdominal pain was less than that in those who received glycerin enema, while the effect of phosphate enema on defecation appeared later than that of glycerin enema, indicating prolonged stool retention in the subjects given phosphate enema. To study the safety of the two enemas, either phosphate enema, glycerin enema or physiological sal...

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Aggravated lymphoid hyperplasia mimicking barium-induced appendicitis

Emergency Radiology — Fri, 21 Dec 2007 16:08:55 +0100

Abstract Barium_induced appendicitis was reported in the literature, but its association with lymphoid hyperplasia has not been reported. A 58_year_old woman was admitted to the hospital with right lower quadrant pain. Barium enema examination performed for evaluation of abdominal pain revealed no pathological finding(s). She was readmitted with symptoms of appendicitis 15 days after barium enema. There was an opacity overlying the right sacral ala on her plain abdominal radiograph. She was operated with presumptive diagnosis of barium_induced appendicitis and pathological examination was consistent with lymphoid hyperplasia. Lymphoid hyperplasia and barium_induced appendicitis were discussed in this report. Content Type Journal ArticleCategory Case ReportDOI 10.100...

Colorectal cancer screening.

Best Practice & Research. Clinical Gastroenterology — Wed, 12 Dec 2007 14:01:22 +0100

Authors: Winawer SJ Colorectal cancer is a worldwide problem having global increases in the number of cases and deaths because of the expanding and aging of the population in both developing and developed countries. Screening methods are available which can reduce the incidence by removal of adenomas and can reduce deaths in diagnosed cancer cases by earlier stage detection. Faecal occult blood testing has the strongest proof of effectiveness based on randomised control trials; sigmoidoscopy has lesser proof based on case control studies, and barium enema the weakest proof of effectiveness. Screening colonoscopy has not been subjected to a randomised trial but there is now considerable evidence of its performance and safety and it has the ability to screen, diagnose, and treat (polypec...

Underuse of colorectal cancer screening in a cohort of medicare beneficiaries

Cancer — Mon, 10 Dec 2007 05:00:00 +0100

To the authors' knowledge, few population-based studies to date have considered the serial use of colorectal cancer screening tests, which are usually recommended at specific intervals.The study included a cohort of cancer-free Medicare beneficiaries aged [ge]70 years who were identified in 1998. Inpatient, physician, and outpatient Medicare claims for colorectal screening procedures from 1991 through 1997 and 1998 through 2004 were used to categorize patients as receiving previous and subsequent complete screening, respectively. Codes were also used to identify patients at increased neoplasia risk. Cox proportional hazards models were used to measure time to receipt of complete screening in follow-up.The cohort consisted of 153,469 Medicare beneficiaries. Previous complete screening was p...

Rectal diverticulum: a new complication of STARR procedure for obstructed defecation

Techniques in Coloproctology — Mon, 03 Dec 2007 18:20:59 +0100

Validation of the NITI Endoluminal Compression Anastomosis Ring (EndoCAR) Device and Comparison to the Traditional Circular Stapled Colorectal Anastomosis in a Porcine Model.

Surgical Innovation — Sat, 01 Dec 2007 05:00:00 +0100

Authors: Stewart D, Hunt S, Pierce R, Dongli Mao , Frisella M, Cook K, Starcher B, Fleshman J The purpose of this study was to determine whether the characteristics of compression anastomoses created by a new device are comparable to existing stapler technology. A total of 18 pigs were studied, and each served as its own control using a 27-mm compression device and a 29-mm stapler. Anastomoses were randomized to proximal and distal positions along the rectum and were separated by 10 cm. Six nonsurvival pigs were sacrificed at zero time to failure test the anastomoses. Twelve pigs were sacrificed at 14 days. Failure pressures, circumferences, and radiographic leak rates were determined. Anastomotic tissue was processed for matrix metalloproteinase, collagen, and elastin levels. The comp...

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Metastatic colon cancer mimicking Crohn's disease.

Annals of Diagnostic Pathology — Wed, 21 Nov 2007 14:54:50 +0100

Authors: Zenda T, Taniguchi K, Hashimoto T, Takeshita Y, Choto S, Masunaga T, Minato H A 66-year-old Japanese woman presented with intestinal obstruction and right-sided hydronephrosis. Although upper gastrointestinal endoscopy demonstrated signet-ring cell gastric carcinoma, colonoscopy and barium enema study yielded findings mimicking Crohn's disease in the colon, that is, skipping longitudinal ulcer scarlike strictures, cobblestone appearance, segmental stricture, and pseudosacculations. After total gastrectomy and right-sided hemicolectomy, the final diagnosis of gastric cancer extensively involving the colon, and not of Crohn's disease complicating gastric cancer, was established. Pathologic examination showed that anaplastic cancer with exuberant desmoplastic reaction and infiltr...

[RSNA Education Exhibits] Evaluation of Submucosal Lesions of the Large Intestine: Part 2. Nonneoplastic Causes

Radiographics recent issues — Mon, 19 Nov 2007 05:00:00 +0100

Various nonneoplastic entities may manifest as submucosal abnormalities at colorectal evaluation, and it may be difficult to distinguish between those with an intramural origin and those with an extramural origin on the basis of optical colonoscopy alone. Cross-sectional radiologic imaging, which allows evaluation of the entire bowel wall and the surrounding tissues, plays an important role in the localization and characterization of these abnormalities. However, some superficial submucosal lesions that are initially detected at computed tomographic colonography or barium enema studies may be better characterized with colonoscopy; thus, it is important to recognize the complementary uses of these diagnostic tests. In addition, modalities such as transrectal ultrasonography and magnetic res...

VC in elderly patients yields extracolonic advantage

AuntMinnie.com Headlines — Wed, 07 Nov 2007 07:00:00 +0100

Virtual colonoscopy is a valuable screening tool in symptomatic individuals age 70 and older, yielding diagnostic benefits far beyond the scope of barium enema exams, which remain common in the U.K. due to staffing and equipment issues, researchers report in this month's American Journal of Roentgenology. (Source: AuntMinnie.com Headlines)

Lymphangioma of the transverse colon treated by transendoscopic polypectomy

Diseases of the Colon & Rectum — Mon, 05 Nov 2007 15:24:30 +0100

This report concerns a 73-year-old man complaining of intermittent, dull, umbilical pain of one month's duration. Barium-enema examination and endoscopy revealed a hemispheric cystic tumor at the midportion of the transverse colon, and the presumptive diagnosis was cystic submucosal tumor of the colon. Transendoscopic polypectomy was performed and the bulk of the lesion was locally excised from the colonic mucosa. Histologic examination revealed cavernous lymphangioma originating from the submucosa. Content Type Journal ArticleDOI 10.1007/BF02641880Authors Gizo Nakagawara, Fukui Medical University Department of Surgery 910-11 Fukui JapanYasuhiko Kojima, Fukui Medical University Department of Surgery 910-11 Fukui JapanMasayoshi Mai, Fukui Medical University Department of Surgery 910...

[Diagnosis and staging of colorectal cancer.]

Tidsskrift for den Norske Laegeforening — Thu, 01 Nov 2007 04:00:00 +0100

Authors: Kjellmo A, Drolsum A BACKGROUND: Colorectal cancer is a frequent disease in Norway. New and improved surgical techniques and the implementation of adjuvant and neoadjuvant therapy have improved 5-year survival rates significantly. Accurate preoperative assessment of tumour extent is essential for choosing the appropriate therapeutic strategy, and thus for patient prognosis. Both established and recent imaging methods are presented and discussed. MATERIAL AND METHODS: This review is based on a selection of articles from Pub-Med, with an emphasis on meta-analyses and prospective investigations, and on the clinical experiences of the authors. RESULTS AND INTERPRETATION: Recto-/colonoscopy with biopsy is still the most common approach for diagnosis. In Norway, magnetic resonance i...

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Design of a multicentre randomized trial to evaluate CT colonography versus colonoscopy or barium enema for diagnosis of colonic cancer in older symptomatic patients: The SIGGAR study

Trials — Sat, 27 Oct 2007 04:00:00 +0100

Background and Aims: The standard whole-colon tests used to investigate patients with symptoms of colorectal cancer are barium enema and colonoscopy. Colonoscopy is the reference test but is technically difficult, resource intensive, and associated with adverse events, especially in the elderly. Barium enema is safer but has reduced sensitivity for cancer. CT colonography ("virtual colonoscopy") is a newer alternative that may combine high sensitivity for cancer with safety and patient acceptability. The SIGGAR trial aims to determine the diagnostic efficacy, acceptability, and economic costs associated with this new technology. Methods: The SIGGAR trial is a multi-centre randomised comparison of CT colonography versus standard investigation (barium enema or colonoscopy), the latter determ...

[Gastrointestinal Imaging] Replacing Barium Enema with CT Colonography in Patients Older Than 70 Years: The Importance of Detecting Extracolonic Abnormalities

American Journal of Roentgenology — Mon, 22 Oct 2007 04:00:00 +0100

CONCLUSION. In patients older than 70 years being examined because of lower gastrointestinal symptoms, CTC findings yield a high number of new significant extracolonic abnormalities. This finding makes a compelling case for targeting this group of patients for a CTC service. (Source: American Journal of Roentgenology)

Psychological and colonic factors in painful diverticulosis

British Journal of Surgery — Mon, 15 Oct 2007 04:00:00 +0100

The importance of psychological factors in symptom expression in diverticulosis is unknown. This follow-up study assessed the relative importance of colonic and psychological factors in symptom expression.Patients with barium enema-proven diverticula were sent a bowel symptom questionnaire in 1999 and again in 2006 with additional psychological questionnaires included.Some 170 of 261 initial responders were eligible for follow-up and 124 (72·9 per cent) provided complete replies. Forty-two (33·9 per cent) of 124 respondents experienced recurrent abdominal pain a median of 3·5 (interquartile range (i.q.r.) 2·00-9·25) days per month, with a median duration of 1 (i.q.r. 0·7-2) h. Multivariable analysis identified a history of acute diverticulitis (odds ratio 3·98; P = 0·010) and a rai...

Hereditary nonpolyposis colorectal cancer: not just a barium enema! Radiographic manifestations and screening tools.

Canadian Association of Radiologists Journal — Mon, 01 Oct 2007 04:00:00 +0100

Authors: Foster L, Jeon P, Green J PMID: 18186432 [PubMed - indexed for MEDLINE] (Source: Canadian Association of Radiologists Journal)

Colorectal cancer test use--Maryland, 2002-2006.

MMWR Morb Mortal Wkl... — Fri, 14 Sep 2007 04:00:00 +0100

This report describes trends in CRC test use based on results from MCS surveys completed in 2002, 2004, and 2006. The results indicated a significant decline (6.1 percentage points) in the percentage of Maryland residents aged > or =50 years who had never been tested for CRC, a 5.4 percentage-point increase in prevalence of up-to-date testing by any method, and a 13.9 percentage-point increase in prevalence of either colonoscopy in the past 10 years or FOBT in the past year plus flexible sigmoidoscopy in the past 5 years. However, Maryland residents who were neither white nor black (i.e., persons of other races) had a significantly lower prevalence of ever having a CRC test, as did persons without health insurance or those without a recent checkup. Although overall increases in CRC test...

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Endorectal surface coil MR imaging as a staging technique for rectal carcinoma: a comparison study to rectal endosonography

Abdominal Imaging — Wed, 05 Sep 2007 18:28:56 +0100

Conclusion: ERSCMRI produced greater overall accuracy in staging for rectal carcinoma than did EUS. Content TypeJournal Article JournalAbdominal ImagingOnline ISSN 1432-0509Print ISSN 0942-8925 Journal VolumeVolume 25 Journal IssueVolume 25, Number 1 / January, 2000 (Source: Abdominal Imaging)

Radiation dose during barium enema.

Radiologic Technology — Sat, 01 Sep 2007 04:00:00 +0100

Authors: McCartney WM PMID: 17848541 [PubMed - in process] (Source: Radiologic Technology)

Recurrent rectal prolapse caused by colonic duplication in a dog.

Australian Veterinary Journal — Sat, 01 Sep 2007 04:00:00 +0100

Authors: Landon BP, Abraham LA, Charles JA, Edwards GA A 9-month-old female Shar Pei cross-bred dog was presented with a history of recurrent rectal prolapse over 7 months. Repeated reduction and anal purse string sutures and subsequent incisional colopexy failed to prevent recurrent rectal prolapse. Digital rectal examination following reduction of the prolapse identified a faeces-filled sac within the ventral wall of the rectum and an orifice in the ventral colonic wall, cranial to the pubic brim. A ventral, communicating tubular colonic duplication was diagnosed by means of a barium enema. Surgical excision of the duplicated colonic tube was performed via a caudal ventral midline laparotomy. At 20 weeks post-operation, there has been no recurrence of rectal prolapse. PMID: 17760...

Evaluation of a radiographer-provided barium enema service

Colorectal Disease — Thu, 09 Aug 2007 15:44:12 +0100

This study was undertaken to assess the accuracy of RDCBE and the sensitivity for diagnosing colorectal cancer (CRC).Method A total o... (Source: Colorectal Disease)