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  • Title: Small-bowel enema. An underutilized method of small-bowel examination.
    Author: Gurian L, Jendrzejewski J, Katon R, Bilbao M, Cope R, Melnyk C.
    Journal: Dig Dis Sci; 1982 Dec; 27(12):1101-8. PubMed ID: 7172960.
    Abstract:
    The results of 88 consecutive small-bowel enemas were compared retrospectively with the results of 52 routine small-bowel series and 50 barium enemas done in the same patients. Ninety-six percent of the diagnoses made by small-bowel enema were correct, as compared to only 65% made by routine small-bowel series. The incorrect studies were mostly false negatives and the abnormalities missed included regional enteritis, small-bowel obstruction, and intestinal lymphoma. The barium enema failed to achieve ileal reflux in 26% of patients and had a 23% false negative rate when reflux was achieved. Because small-bowel series as done by conventional methods was significantly less accurate, we believe small-bowel enema should be considered in patients with suspected small-bowel disease when other studies are negative.
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