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Survey of medical students and junior house doctors on the effects of medical radiation: is medical education deficient?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Departme...
Source: Irish Journal of Medical Science - October 10, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Value-of-Information Analysis to Guide Future Research in Colorectal Cancer Screening [Health Policy and Practice]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Continuous Publishing articles - September 28, 2009 Category: Radiology Authors: Hassan, C., Hunink, M. G. M., Laghi, A., Pickhardt, P. J., Zullo, A., Kim, D. H., Iafrate, F., Di Giulio, E. Tags: Health Policy and Practice Source Type: journals

Value-of-Information Analysis to Guide Future Research in Colorectal Cancer Screening.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Radiology - September 28, 2009 Category: Radiology Authors: Hassan C, Hunink MG, Laghi A, Pickhardt PJ, Zullo A, Kim DH, Iafrate F, Di Giulio E Tags: Radiology Source Type: journals

Acute lower gastrointestinal bleeding in 1,112 patients admitted to an urban emergency medical centerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Surgery - September 28, 2009 Category: Surgery Authors: Christopher Gayer, Akiko Chino, Charles Lucas, Satoshi Tokioka, Takuji Yamasaki, David A. Edelman, Choichi Sugawa Tags: Central Surgical Association Source Type: journals

CT colonography versus double-contrast barium enema for screening of colorectal cancer: comparison of radiation burdenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Abdominal Imaging - September 24, 2009 Category: Radiology Tags: Abdominal Imaging Source Type: journals

Patient dose assessment due to fluoroscopic exposure for some selected fluoroscopic procedures in GhanaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ± 10.8...
Source: Radiation Protection Dosimetry - September 20, 2009 Category: Radiology Authors: Gyekye, P. K., Schandorf, C., Boadu, M., Yeboah, J., Amoako, J. K. Tags: Scientific and Technical Papers Source Type: journals

An unusual presentation of a cystic duplication of the sigmoid colon entirely lined with squamous epitheliumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 communicat...
Source: Journal of Pediatric Surgery - August 31, 2009 Category: Surgery Authors: Gregory Rodesch, Jean Louis Dargent, Annick Haller, Marie Cassart, Freddy Avni, Theresa Cos, Inge Van Herreweghe, Jean François Deleuze, Pierre Lingier Tags: Case Reports Source Type: journals

Pneumobilia, chronic diarrhea, vitamin K malabsorption: a pathognomonic triad for cholecystocolonic fistulas.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: World Journal of Gastroenterology : WJG - August 27, 2009 Category: Gastroenterology Authors: Savvidou S, Goulis J, Gantzarou A, Ilonidis G Tags: World J Gastroenterol Source Type: journals

Colonic perforation during barium enema in a patient without known colonic disease: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Cases Journal - August 13, 2009 Category: Journals (General) Source Type: journals

Primary transanal Swenson pull-through operation for Hirschsprung’s diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Pediat...
Source: Pediatric Surgery International - August 9, 2009 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Accuracy of Self-Reported Reason for Colorectal Cancer TestingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Annals of Epidemiology - August 7, 2009 Category: Epidemiology Authors: J.M. Eberth, S.W. Vernon, A.L. White, P.N. Abotchie, S.P. Coan Tags: Abstracts Source Type: journals

Botox injection treatment for anal outlet obstruction in patients with internal anal sphincter achalasia and Hirschsprung’s diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 H...
Source: Pediatric Surgery International - August 7, 2009 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Dually eligible and colorectal cancer screening: too little, too late?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Journal of Health Care for the Poor and Underserved - July 31, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

New screening guidelines for colorectal cancer: a practical guide for the primary care physician.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pri...
Source: Primary Care - July 22, 2009 Category: Primary Care Authors: Allison JE, Potter MB Tags: Prim Care Source Type: journals

New Screening Guidelines for Colorectal Cancer: A Practical Guide for the Primary Care PhysicianEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Primary Care: Clinics in Office Practice - July 18, 2009 Category: Primary Care Authors: James E. Allison, Michael B. Potter Source Type: journals

[Case Report: An Intestinal Obstruction Due to Ascariasis.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 helmin...
Source: Turkish Society for Parasitology - July 16, 2009 Category: Parasitology Authors: Tamer GS, Tamer Y Tags: Turkiye Parazitol Derg Source Type: journals

Letter from the EditorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 jour...
Source: Seminars in Ultrasound CT and MRI - July 14, 2009 Category: Radiology Authors: Howard W. Raymond Source Type: journals

What is the most cost-effective strategy to screen for second primary colorectal cancers in male cancer survivors in Korea?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: World Journal of Gastroenterology : WJG - July 5, 2009 Category: Gastroenterology Authors: Park SM, Kim SY, Earle CC, Jeong SY, Yun YH Tags: World J Gastroenterol Source Type: journals

Evaluation of colonic involvement in endometriosis: double-contrast barium enema vs. magnetic resonance imagingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 37...
Source: Abdominal Imaging - July 1, 2009 Category: Radiology Tags: Abdominal Imaging Source Type: journals

Direct radionuclide cystography imaging in colovesical fistula due to inguinal hernia operation complicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 cystogr...
Source: Annals of Nuclear Medicine - June 16, 2009 Category: Radiology Tags: Annals of Nuclear Medicine Source Type: journals

How important is it to investigate the whole of the colon after initial assessment at a rapid access colorectal clinic?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: International Journal of Colorectal Disease - June 5, 2009 Category: Gastroenterology Tags: International Journal of Colorectal Disease Source Type: journals

Colorectal Cancer Screening Among First-Degree Relatives of Colorectal Cancer Patients: Benefits and BarriersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Annals of Surgical Oncology - May 29, 2009 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: journals

not dread screeningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: About.com Colon Cancer - May 20, 2009 Category: Cancer & Oncology Authors: coloncancer.guide at about.com Tags: health Source Type: consumer

Endometriosis of the Posterior Cul-De-Sac: Clinical Presentation and Findings at Transvaginal UltrasoundEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: American Journal of Roentgenology - May 19, 2009 Category: Radiology Authors: Hensen, J.-H. J., Puylaert, J. B. C. M. Tags: Women's Imaging Source Type: journals

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]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Clinical Radiology - May 15, 2009 Category: Radiology Authors: S. Thomas, J. Atchley, A. Higginson Tags: Corrigenda Source Type: journals

Colorectal Cancer Screening by Primary Care Physicians: Recommendations and Practices, 2006–2007Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: American Journal of Preventive Medicine - May 13, 2009 Category: Global & Universal Authors: Carrie N. Klabunde, David Lanier, Marion R. Nadel, Caroline McLeod, Gigi Yuan, Sally W. Vernon Tags: Research Articles Source Type: journals

Trends in Colorectal Cancer Test Use in the Medicare Population, 1998–2005Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: American Journal of Preventive Medicine - May 7, 2009 Category: Global & Universal Authors: Anna P. Schenck, Sharon C. Peacock, Carrie N. Klabunde, Pauline Lapin, Jim F. Coan, Martin L. Brown Tags: Research Articles Source Type: journals

Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Journal of Pediatric Surgery - May 1, 2009 Category: Surgery Authors: Federico G. Seifarth Tags: Special Department Source Type: journals

Improved rates of colorectal cancer screening in an equal access populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: American Journal of Surgery - April 24, 2009 Category: Surgery Authors: Lionel R. Brounts, Ryan K. Lehmann, Kelly E. Lesperance, Tommy A. Brown, Scott R. Steele Tags: The North Pacific Surgical Association Source Type: journals

Impact of age and comorbidity on colorectal cancer screening among older veterans.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Annals of Internal Medicine - April 7, 2009 Category: Internal Medicine Authors: Walter LC, Lindquist K, Nugent S, Schult T, Lee SJ, Casadei MA, Partin MR Tags: Ann Intern Med Source Type: journals

Pregnancy and radiation exposure during therapeutic ERCP: time to put the baby to bed?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Gastrointestinal Endoscopy - April 1, 2009 Category: Gastroenterology Authors: Todd H. Baron, Beth A. Schueler Tags: Clinical Endoscopy Source Type: journals

Improved rates of colorectal cancer screening in an equal access population.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: American Journal of Surgery - March 21, 2009 Category: Surgery Authors: Brounts LR, Lehmann RK, Lesperance KE, Brown TA, Steele SR Tags: Am J Surg Source Type: journals

Overview of Colon Cancer TestsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: About.com Colon Cancer - March 7, 2009 Category: Cancer & Oncology Tags: health Source Type: consumer

Medicare BenefitsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: About.com Colon Cancer - March 7, 2009 Category: Cancer & Oncology Tags: health Source Type: consumer

Wendy's Barium Enema StoryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: About.com Colon Cancer - March 7, 2009 Category: Cancer & Oncology Tags: health Source Type: consumer

Barium enemaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Gastroenterology and Liver Diseases Specialist Library - Diagnostic procedures - March 6, 2009 Category: Gastroenterology Source Type: organizations

The Frequency of Early Repeat Tests After Colonoscopy in Elderly Medicare RecipientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Digestive Diseases and Sciences - February 25, 2009 Category: Gastroenterology Tags: Digestive Diseases and Sciences Source Type: journals

Barium EnemaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Barium EnemaCategory: Procedures and TestsCreated: 12/31/1997Last Editorial Review: 2/10/2009 (Source: MedicineNet Digestion General)
Source: MedicineNet Digestion General - February 10, 2009 Category: Nutrition Source Type: consumer

Adult Segmental Hirschsprung Disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Southern Medical Journal - February 5, 2009 Category: Journals (General) Tags: Abstract HTML PDF (183 K) Source Type: journals

Anatomic Significance of a Positive Barium Enema in Deep Infiltrating Endometriosis of the Large BowelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, Academi...
Source: World Journal of Surgery - February 4, 2009 Category: Surgery Tags: World Journal of Surgery Source Type: journals

[Institutional report - Esophagus] Gastrocoele: a complication of combined oesophageal and antral corrosive stricturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 proce...
Source: Interactive CardioVascular and Thoracic Surgery - January 22, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Rathinam, S., Kanagavel, M., Chandramohan, S. M. Tags: Institutional report - Esophagus Source Type: journals

Colorectal cancer screening among underserved minority population: Discrepancy between physicians’ recommended, scheduled, and completed testsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Patient Education and Counseling - January 16, 2009 Category: Global & Universal Authors: Mohsen Bazargan, Chizobam Ani, Shahrzad Bazargan-Hejazi, Richard S. Baker, Roshan Bastani Tags: Health Care Source Type: journals

A new screening test for chronic abdominal painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(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)
Source: EurekAlert! - Medicine and Health - December 29, 2008 Category: Global & Universal Source Type: news

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.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Clinical Radiology - December 26, 2008 Category: Radiology Authors: Thomas S, Atchley J, Higginson A Tags: Clin Radiol Source Type: journals

Referral letters for 2-week wait suspected colorectal cancer do not allow a 'straight-to-test' pathway.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Annals of the Royal College of Surgeons of England - December 19, 2008 Category: Surgery Authors: Aljarabah M, Borley N, Goodman A, Wheeler J Tags: Ann R Coll Surg Engl Source Type: journals

Colorectal cancer: a summary of the evidence for screening and prevention.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: American Family Physician - December 15, 2008 Category: Primary Care Authors: Wilkins T, Reynolds PL Tags: Am Fam Physician Source Type: journals

Factors Influencing Choices for Colorectal Cancer Screening Among Previously Unscreened African and Caucasian Americans: Findings from a Triangulation Mixed Methods InvestigationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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,...
Source: Journal of Community Health - December 11, 2008 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Evaluation of patient dose for barium enemas and CT colonography in Japan.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 imagin...
Source: The British Journal of Radiology - December 8, 2008 Category: Radiology Authors: Hirofuji Y, Aoyama T, Koyama S, Kawaura C, Fujii K Tags: Br J Radiol Source Type: journals

Preliminary evaluation of anorectal manometry in diagnosing Hirschsprung’s disease in neonatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Ro...
Source: Pediatric Surgery International - November 28, 2008 Category: Surgery Tags: Pediatric Surgery International Source Type: journals

Comparative study between botulinum toxin injection and partial division of puborectalis for treating anismusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Med...
Source: International Journal of Colorectal Disease - November 28, 2008 Category: Gastroenterology Tags: International Journal of Colorectal Disease Source Type: journals