These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Radiographic evaluation of peptic ulcer disease.
    Author: Goldberg HI.
    Journal: J Clin Gastroenterol; 1981; 3(Suppl 2):57-65. PubMed ID: 7320469.
    Abstract:
    The major advance in the radiographic detection of peptic ulcers and their sequelae in the past decade has been the utilization of air-barium double-contrast studies of the esophagus, stomach, and duodenum. In many reported series, a decrease in the error rate, from 20-50% using single-contrast radiography, to 10-20% using double-contrast or combination single- and double-contrast radiographic techniques, has been noted. Double-contrast radiography has had a particularly great impact in the diagnosis of duodenal, gastric, and esophageal erosions. These shallow, superficial changes are not detected with single-contrast radiography. False-negative radiographic diagnoses still occur with double-contrast techniques because of (1) erosions too small to detect, (2) ulcers obscured by enlarged folds or a deformed duodenal bulb, and (3) poor mucosal coating and increased secretions. False-positive diagnoses occasionally occur because of precipitation or trapping of barium between gastric and duodenal folds. The improvements in overall radiographic diagnosis using a double-contrast technique indicate that this technique should be employed whenever possible for the evaluation of peptic ulcer disease.
    [Abstract] [Full Text] [Related] [New Search]