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Related Experiment Videos

The double contrast barium enema: why bother?

J Young

    Southern Medical Journal
    |January 1, 1982
    PubMed
    Summary

    The double contrast barium enema (DCBE) offers superior colonic investigation compared to single contrast barium enema (BE). Evidence suggests the barium enema is no longer the standard for colon examination.

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    Area of Science:

    • Radiology
    • Gastroenterology

    Background:

    • The double contrast barium enema (DCBE) is widely recognized for its diagnostic capabilities in colonic investigation.
    • However, the single contrast barium enema (BE) remains the routine method in many institutions, often due to resistance to change.

    Purpose of the Study:

    • To critically evaluate the persistent use of single contrast barium enema (BE) in colonic investigation.
    • To address and debunk misconceptions surrounding the efficacy of double contrast barium enema (DCBE).

    Main Methods:

    • Comprehensive review of existing medical literature on barium enema techniques.
    • Examination of common misconceptions and outdated beliefs regarding DCBE versus BE.

    Main Results:

    • Overwhelming worldwide evidence supports the superiority of DCBE over BE for colonic examination.
    • There is limited justification for the continued routine use of barium enema as the standard colon examination technique.

    Conclusions:

    • The persistent use of single contrast barium enema (BE) is not supported by current evidence.
    • Double contrast barium enema (DCBE) should be considered the preferred method for colonic investigation, challenging the status quo of 'conservational' radiology.

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