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The small bowel enema: a ten year review
P M Dixon1, M E Roulston, D J Nolan
1Department of Radiology, John Radcliffe Hospital, Oxford.
Clinical Radiology
|January 1, 1993
Summary
Small bowel enema (enteroclysis) is a highly accurate radiological examination for diagnosing small intestine disorders. This study found it to be a reliable method for clinical decision-making in patients with suspected conditions.
Area of Science:
- Radiology
- Gastroenterology
- Diagnostic Imaging
Background:
- Small intestine disorders present diagnostic challenges.
- Accurate imaging is crucial for timely and effective patient management.
- Enteroclysis has been utilized for evaluating small bowel pathology.
Purpose of the Study:
- To evaluate the diagnostic performance of small bowel enema (enteroclysis).
- To correlate radiological findings with clinical outcomes and surgical findings.
- To determine the utility of enteroclysis as a routine examination for suspected small intestine disorders.
Main Methods:
- Retrospective review of radiological reports from 1465 enteroclysis examinations.
- Comparison of radiological findings with subsequent clinical outcomes.
- Correlation with intraoperative findings from laparotomy where available.
Main Results:
- Sensitivity of 93.1% and specificity of 96.9% for detecting abnormalities.
- Accurate specific diagnoses were achieved in 67.5% of abnormal examinations.
- High agreement between radiological findings and clinical presentation was observed.
Conclusions:
- Small bowel enema (enteroclysis) demonstrates high diagnostic accuracy.
- The procedure is a valuable tool for diagnosing small intestine disorders.
- Enteroclysis should be considered the standard barium examination for suspected small bowel pathology.