Document Detail

Cleansing enema prior to double-contrast barium enema examination: is it necessary?
MedLine Citation:
PMID:  8451396     Owner:  NLM     Status:  MEDLINE    
In a prospective study, 443 patients referred for double-contrast barium enema examination were allocated to one of four regimens consisting of either 24 or 48 hours of clear liquids in combination with a cathartic laxative (magnesium sulfate), an irritant laxative (bisacodyl), and hydration. One regimen from each time group included a preliminary cleansing enema. Significantly higher bowel cleanliness scores were given to the 48-hour regimen with no cleansing enema (P < .0002). Scores for overall quality of the barium enema examination (based on detectability of a 1-cm lesion) showed no significant differences between a 24- and a 48-hour regimen, with or without a cleansing enema. No differences emerged in patient acceptance of the regimens, and 54%-57% of patients had no complaints about the preparation. The authors recommend a 48-hour preparation to minimize the risk of interfering fecal material, especially in subjects with colonic dysmotility. A time-consuming cleansing enema can be omitted.
M J Hageman; R Goei
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  187     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-04-14     Completed Date:  1993-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  109-12     Citation Subset:  AIM; IM    
Department of Radiology, University Hospital Maastricht, The Netherlands.
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MeSH Terms
Barium Sulfate / diagnostic use*
Colon / radiography*
Enema* / adverse effects,  methods
Middle Aged
Prospective Studies
Reg. No./Substance:
7727-43-7/Barium Sulfate

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