Barium Enema Examinations v Endoscopy

AVERY B. Brinkley Jr, MD
Arch Intern Med. 1982;142(8):1584. doi:10.1001/archinte.1982.00340210182042.
Text Size: A A A
Published online

To the Editor.  —It was a pleasure to read the concise, yet thorough, article in the Archives entitled "Gastrointestinal Tract Bleeding of Unknown Origin" by Spechler and Schimmel (1982;142:236-240). However, I believe their comments regarding the efficacy of the barium enema and the diagnosis of colon neoplasms warrant an update. Their data sources underrating the barium enema, in particular the air-contrast barium enema (ACBE), are hardly applicable to today's proper assessment in comparison with various diagnostic modalities. There are several reasons, which include the lack of properly controlled studies in the past, the ongoing development of better barium suspensions, the evolution of interpretative abilities of radiologists performing the ACBE, and, finally, the continued refinement of proper techniques in obtaining diagnostic studies.I would refer the authors or any physician who perpetuates the belief that the barium enema is inferior to endoscopy to several recent comparisons of the two techniques and the


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.