| Cleansing enema prior to double-contrast barium enema examination: is it necessary? | |
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MedLine Citation:
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PMID: 8451396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M J Hageman; R Goei |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiology Volume: 187 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1993 Apr |
Date Detail:
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Created Date: 1993-04-14 Completed Date: 1993-04-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 109-12 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, University Hospital Maastricht, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Barium Sulfate
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diagnostic use* Colon / radiography* Enema* / adverse effects, methods Female Humans Male Middle Aged Prospective Studies |
| Chemical | |
Reg. No./Substance:
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7727-43-7/Barium Sulfate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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