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Related Experiment Videos

The double-contrast barium meal: a correlation with endoscopy.

G M Fraser, P M Earnshaw

    Clinical Radiology
    |March 1, 1983
    PubMed
    Summary

    Radiology and endoscopy showed good agreement for esophagitis (73%) but poor agreement for duodenitis (48%). Endoscopy missed 13% of gastric ulcers and found no early gastric cancers in high-risk patients.

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    Digestion·2002

    Area of Science:

    • Gastroenterology
    • Diagnostic Imaging

    Background:

    • Radiological assessments often require endoscopic confirmation.
    • Discrepancies between radiological and endoscopic findings can impact patient management.

    Purpose of the Study:

    • To evaluate the concordance between radiological and endoscopic diagnoses.
    • To assess the diagnostic yield of endoscopy when requested by radiologists.

    Main Methods:

    • Retrospective analysis of 214 patients with 252 lesions.
    • Endoscopy requested by radiologists to confirm or clarify findings.
    • Comparison of radiological and endoscopic reports for esophagitis, duodenitis, and gastric lesions.

    Main Results:

    • Agreement on esophagitis: 73%; agreement on duodenitis: 48%.
    • Only two cases of early gastric cancer identified overall.
    • Endoscopy missed 13% of gastric ulcers on initial examination.
    • No early gastric cancers detected in 43 patients with abnormal mucosal patterns.

    Conclusions:

    • Endoscopic-radiological agreement varies significantly by condition, being higher for esophagitis than duodenitis.
    • Endoscopy may miss certain gastric pathologies, including ulcers and early gastric cancer, necessitating careful radiological and endoscopic correlation.

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