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Same-day versus separate-day sigmoidoscopy and double contrast barium enema: a randomized controlled study.
V F Eckardt1, G Kanzler, D Willems
1Gastroenterologisches Institut Wiesbaden, Federal Republic of Germany.
Gastrointestinal Endoscopy
|November 1, 1989
Summary
Performing sigmoidoscopy on the same day as a double contrast barium enema does not compromise diagnostic quality. This combined approach can reduce costs and patient discomfort for colonic investigations.
Area of Science:
- Gastroenterology
- Radiology
- Medical Imaging
Background:
- Double contrast barium enema and sigmoidoscopy are common colonic investigations.
- Performing multiple procedures can increase patient discomfort and healthcare costs.
Purpose of the Study:
- To evaluate if performing sigmoidoscopy on the same day as a double contrast barium enema affects the quality of the barium enema.
- To assess the impact on diagnostic quality and patient experience.
Main Methods:
- A randomized controlled study involving 400 patients.
- Comparison of double contrast barium enema quality in patients undergoing same-day versus separate-day sigmoidoscopy.
- Blind appraisal of radiographic film quality by an independent radiologist.
Main Results:
- No significant differences were observed in spasm, fluid retention, air retention, or barium coat quality.
- Radiographic film quality received similar ratings regardless of procedure timing.
- Sigmoidoscopy performance was improved due to more effective bowel cleansing with same-day procedures.
Conclusions:
- Same-day sigmoidoscopy and double contrast barium enema is a viable option for colonic investigation.
- This combined approach can reduce costs and patient discomfort without sacrificing diagnostic quality.
- Using carbon dioxide (CO2) instead of air during sigmoidoscopy is recommended for optimal results.