Shariff MK, Sheikh K, Carroll NR, Whitley S, Greenberg D, Parkes M, Cameron EAB. Colorectal cancer detection: time to abandon barium enema?
Frontline Gastroenterol 2011;
2:105-109. [PMID:
28839591 PMCID:
PMC5517211 DOI:
10.1136/fg.2010.003616]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/10/2010] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVES
To assess the sensitivity of double contrast barium enema (DCBE) for diagnosing colorectal cancer (CRC).
DESIGN
Retrospective evaluation of DCBE performed in the 2 years prior to diagnosis of CRC.
SETTING
Teaching hospital in Cambridge, UK.
PATIENTS
1310 consecutive cases of CRC identified from cancer registry data.
INTERVENTIONS
DCBE and colonoscopy.
MAIN OUTCOME MEASURES
Sensitivity of DCBE for diagnosing CRC.
RESULTS
215 patients had undergone a DCBE within the 2 years prior to diagnosis with CRC. After excluding those reported as inadequate, 37 of these were reported as normal, giving a sensitivity of 83% (81-85%).
CONCLUSIONS
The performance of DCBE is inadequate for the exclusion of CRC. Expansion of colonoscopy and CT colonography capacity is urgently required nationally so that DCBE can finally be abandoned as a firstline test in patients at risk of CRC.
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