Document Detail

Problems in the colonoscopic localization of tumors: continued value of the barium enema.
MedLine Citation:
PMID:  3623005     Owner:  NLM     Status:  MEDLINE    
Six patients in whom errors of diagnosis and therapy occurred because of reliance on colonoscopic tumor localization are presented. Three of the patients required a second laparotomy for surgical resection of a tumor that was missed at the first exploration. While endoscopy is regarded as the diagnostic gold standard, there are problems in its use for colonoscopic localization. Reliance on distance measurements may be misleading. Anatomical variants can be confusing. For this reason, a preoperative barium enema for precise delineation and localization of tumors is recommended. When a barium enema is not feasible, such as when a malignant polyp has been removed endoscopically, preoperative endoscopic localization with injection of India ink or intraoperative colonoscopy must be performed.
D H Frager; J D Frager; E L Wolf; T C Beneventano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Gastrointestinal radiology     Volume:  12     ISSN:  0364-2356     ISO Abbreviation:  Gastrointest Radiol     Publication Date:  1987  
Date Detail:
Created Date:  1987-10-21     Completed Date:  1987-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7611134     Medline TA:  Gastrointest Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  343-6     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Barium Sulfate / diagnostic use
Colon / pathology
Colonic Neoplasms / pathology,  radiography*
Colonic Polyps / pathology,  radiography*
Diagnosis, Differential
Middle Aged
Reg. No./Substance:
7727-43-7/Barium Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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