Journal of the Royal College of Physicians of London · 1999
Barium enema or colonoscopy for the investigation of iron deficiency anaemia?
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Sayer J M, Donnelly M T, McIntyre A S, Barton J R, Grundman M J, Vicary F R, Long R G
Аннотация
OBJECTIVE: To determine whether double contrast barium enema is adequate for excluding carcinoma of the colon in patients with iron deficiency anaemia.
DESIGN: Prospective audit.
SUBJECTS: One hundred and twenty-three patients with iron deficiency anaemia.
INTERVENTION: All patients had upper intestinal (GI) endoscopy, duodenal biopsy and double contrast barium enema. Malignant disease and other GI pathology were treated. Patients with recurrent or persistent anaemia at follow-up were colonoscoped.
OUTCOME MEASURE: Colon cancer missed on barium enema examination but detected on colonoscopic examination.
RESULTS: An identified GI lesion contributing to their anaemia and 11 colon cancers were found in 71% of patients, all identified on barium enema. Two pre-cancerous conditions were missed on barium enema examination. Only 45% colonoscopies inspected the caecum.
CONCLUSION: Double contrast barium enema with sigmoidoscopy is probably sufficient for excluding carcinoma of the colon in iron deficiency anaemia.
DESIGN: Prospective audit.
SUBJECTS: One hundred and twenty-three patients with iron deficiency anaemia.
INTERVENTION: All patients had upper intestinal (GI) endoscopy, duodenal biopsy and double contrast barium enema. Malignant disease and other GI pathology were treated. Patients with recurrent or persistent anaemia at follow-up were colonoscoped.
OUTCOME MEASURE: Colon cancer missed on barium enema examination but detected on colonoscopic examination.
RESULTS: An identified GI lesion contributing to their anaemia and 11 colon cancers were found in 71% of patients, all identified on barium enema. Two pre-cancerous conditions were missed on barium enema examination. Only 45% colonoscopies inspected the caecum.
CONCLUSION: Double contrast barium enema with sigmoidoscopy is probably sufficient for excluding carcinoma of the colon in iron deficiency anaemia.