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Pediatric Radiology

, Volume 16, Issue 4, pp 298–301 | Cite as

Correlation of double-contrast high-density barium enema, colonoscopy, and histology in children with special attention to disparities

  • D. A. Stringer
  • P. M. Sherman
  • N. Jakowenko
Originals

Abstract

Colonoscopic and double-contrast high-density barium enema (DCBE) findings were correlated in 68 patients (39 boys and 29 girls) aged 6 months to 18 years (mean 11.6 years) evaluated over a 24-month period. There was excellent correlation in 53 patients (78.0%) and good correlation in another 3 (4.4%) who had identical diagnoses and only slightly differeing extent of disease reported. In 2 of these, DCBE showed more extensive disease, confirmed histologically in 1. Distal colitis seen on colonoscopy as reddening and neovascularity was missed on DCBE in 6 patients. Colonoscopy and DCBE failed to show a polyp in 1 patient each. One patient who had a normal DCBE and colonoscopy demonstrated a histological abnormality, and 1 patient with an abnormality on histology and DCBE was normal on colonoscopy. A disparity resulted from the time between procedures in 1 patient and observer error in another. This high correlation is far better than any previously reported in children, supporting the use of high-density barium sulfate and double-contrast barium enemas in pediatric patients.

Keywords

Public Health Sulfate Barium Pediatric Patient Barium Enema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • D. A. Stringer
    • 3
  • P. M. Sherman
    • 1
  • N. Jakowenko
    • 2
  1. 1.Department of Paediatrics (Division of Gastroenterology)The Hospital for Sick ChildrenTorontoCanada
  2. 2.Department of NursingThe Hospital for Sick ChildrenTorontoCanada
  3. 3.Department of RadiologyThe Hospital for Sick ChildrenTorontoCanada

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