Why double contrast barium enema?

  • Giorgio Cittadini


In 1976 an article by Margulis [1] published in the “Opinion” column of Radiology was entitled: “Is the double contrast examination of the colon the only acceptable radiographic examination?”. In this article the Author also asks the following question: “Does this mean that radiologists not performing a double-contrast examination as the only radiographic procedure are wrong?”.


Irritable Bowel Syndrome Colonic Polyp Double Contrast Barium Enema Sessile Polyp Anatomic Resolution 


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  1. 1.
    Margulis AR (1976) Is the double-contrast examination of the colon the only acceptable radiographic examination? Radiology 119: 741–742PubMedGoogle Scholar
  2. 2.
    Gelfand DW, Ott DJ (1981) Single-vs. double-contrast gastrointestinal studies: critical analysis of reported statistics. AJR 137: 523–528PubMedGoogle Scholar
  3. 3.
    Johnson CD, Carlson HC, Taylor WF et al (1983) Barium enemas of carcinoma of the colon: Sensitivity of double-and single-contrast studies. AJR 140: 1143–1149PubMedGoogle Scholar
  4. 4.
    Ott DJ, Scharling ES, Chen YM et al (1989) Barium enema examination: Sensitivity in detecting colonic polyps and carcinomas. South Med J 82: 197–200PubMedCrossRefGoogle Scholar
  5. 5.
    Ott DJ, Scharling ES, Chen YM et al (1989) Positive predictive value and post-test probability of diagnosis of colonic polyp on single-and double-contrast barium enema. AJR 153: 735–739PubMedGoogle Scholar
  6. 6.
    De Roos A, Hermans J, Shaw PC et al (1985) Colon polyps and carcinomas: Prospective comparison of the single-and double-contrast examination in the same patients. Radiology 154: 11–13PubMedGoogle Scholar
  7. 7.
    Gelfand DW, Chen YM, Ott DJ (1987) Detection of colonic polyps on single-contrast barium enema study: Emphasis on the elderly. Radiology 164: 333–337PubMedGoogle Scholar
  8. 8.
    Ott DJ, Gelfand DW, Ramquist NA (1980) Causes of error in gastrointestinal radiology. II. Barium enema examination. Gastrointest Radiol 5: 99–105PubMedCrossRefGoogle Scholar
  9. 9.
    Kelvin FM, Gardiner R, Vas W et al (1981) Colorectal carcinoma missed on double contrast barium enema study: a problem in perception. AJR 137: 307–313PubMedGoogle Scholar
  10. 10.
    Markus JB, Somers S, O’Malley BP et al (1990) Double-contrast barium enema studies: Effect of multiple reading on perception error. Radiology 175: 155–156PubMedGoogle Scholar
  11. 11.
    Laufer I, Mullens JE, Hamilton J (1976) Correlation of endoscopy and double-contrast radiography in the early stages of ulcerative and granulomatous colitis. Radiology 118: 1–5PubMedGoogle Scholar
  12. 12.
    Laufer I (1976) The double-contrast enema: myths and misconceptions. Gastrointest Radiol 1: 19–31PubMedCrossRefGoogle Scholar
  13. 13.
    Kelvin FM, Oddson TA, Rice RP et al (1978) Double contrast barium enema in Crohn’s disease and ulcerative colitis. AJR 131: 207–213PubMedGoogle Scholar
  14. 14.
    Nakano H, Jaramillo E, Watanabe M et al (1992) Intestinal tuberculosis: Findings on double-contrast barium enema. Gastrointest Radiol 17: 108–114PubMedCrossRefGoogle Scholar
  15. 15.
    Ritsema GH, Thijn CJP (1991) Painful irritable bowel syndrome and sigmoid contractions. Clin Radiol 43: 113–116PubMedCrossRefGoogle Scholar
  16. 16.
    Lappas JC, Maglinte DDT, Kopecky KK et al (1988) Diverticular disease: Imaging with post-double-contrast sigmoid flush. Radiology 168: 35–37PubMedGoogle Scholar
  17. 17.
    Simpkins KC (1989) Annual Oration 1989: Bring out your barium. J Can Assoc Radiol 40: 5–11Google Scholar
  18. 18.
    Bret P (1981) Radiologie de l’intestin grêle et du colon. Technique et sémiologie. Villeurbanne: SimepGoogle Scholar
  19. 19.
    Ushio K, Goto H, Muramatsu Y et al (1986) Significance of the profile view in the X-ray diagnosis of cancer of the digestive tract: Diagnosis of depth invasion by double contrast study. I to Cho 21: 27–32Google Scholar
  20. 20.
    Margulis AR, Eisenberg RL (1991) Gastrointestinal radiology from the time of Walter B. Cannon to the 21st century. Radiology 178: 297–302PubMedGoogle Scholar
  21. 21.
    Rice RP (1990) Lowering death rates from colorectal cancer: Challenge for the 1990s. Radiology 176: 297–301PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • Giorgio Cittadini
    • 1
  1. 1.Department of RadiologyUniversity of Genoa School of Medicine San Martino HospitalGenoaItaly

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