Document Detail


Prospective comparison of double-contrast barium meal examination and fibreoptic endoscopy in acute upper gastrointestinal haemorrhage.
MedLine Citation:
PMID:  1086117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fibre-optic endoscopy was compared prospectively with double-contrast radiology in 53 consecutive patients admitted with acute gastrointestinal haemorrhage. The bleeding site was correctly identified by endoscopy in 94% of patients and the final diagnosis was correctly given in 89%. The corresponding figures with radiology were 83% and 74%. Among the 50 patients with a final diagnosis of a bleeding site in the upper gastrointestinal tract endoscopy indicated the site of bleeding in all and radiology indicated it in 88%. Both investigations were well tolerated by patients. Endoscopy is the investigation of choice, but when it is not available double-contrast radiology will show the site of bleeding in 80-90% of patients.
Authors:
G W Stevenson; R R Cox; C J Roberts
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  British medical journal     Volume:  2     ISSN:  0007-1447     ISO Abbreviation:  Br Med J     Publication Date:  1976 Sep 
Date Detail:
Created Date:  1976-12-23     Completed Date:  1976-12-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372673     Medline TA:  Br Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  723-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Barium Sulfate / diagnostic use
Contrast Media
Duodenal Diseases / diagnosis
Endoscopy
Esophageal Diseases / diagnosis
Fiber Optic Technology
Gastrointestinal Hemorrhage / diagnosis*,  radiography
Humans
Male
Prospective Studies
Stomach Diseases / diagnosis
Chemical
Reg. No./Substance:
0/Contrast Media; 7727-43-7/Barium Sulfate
Comments/Corrections

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