Gastroenterology Book

Hemorrhage

Miscellaneous

  • Barium Enema

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Barium Enema

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  1. Efficacy
    1. Background
      1. Initially thought to identify 85-95% of Colon Cancer
      2. Recent evaluations suggest much lower sensitivity
    2. Test Sensitivity
      1. Adenoma <0.5 cm diameter: 32%
      2. Adenoma 0.6 to 1 cm diameter: 53%
      3. Adenoma >1 cm diameter: 48%
    3. Test Specificity: 48%
    4. References
      1. Winawer (2000) N Engl J Med 342:1766
  2. Advantages
    1. Costs 50% of Colonoscopy
  3. Adverse Effects
    1. Complication Rate 1:5000
  4. Disadvantages
    1. Poorly visualizes rectal area
    2. Best done in combination endoscopy
      1. Flexible Sigmoidoscopy
      2. Proctoscopy

Lower gastrointestinal tract contrast procedure (C0203075)

Definition (NCI)A procedure in which a liquid with barium in it is put into the rectum and colon by way of the anus. Barium is a silver-white metallic compound that helps to show the image of the lower gastrointestinal tract on an x-ray.
Definition (NCI)X-rays of the colon and rectum (lower gastrointestinal tract) that are taken after a person is given a barium enema.
ConceptsDiagnostic Procedure (T060)
ICD987.64
EnglishBA - Barium enema, Barium enema, Barium Enema Injection, BE - Barium enema, Lower Gastrointestinal Series, Lower gastrointestinal tract contrast procedure, LOWER GI SERIES, Radiologic examination of colon with barium
Spanishenema baritado, enema de bario, examen radiologico del colon con bario, procedimiento con medio de contraste en el tracto gastrointestinal inferior, seriada gastrointestinal inferior
Parent ConceptsGastrointestinal Transit (C0017191), Other x-ray of digestive system (C0177741), Administration of enema (C0014268), Radiography of gastrointestinal tract (C0203054), Radiography of intestine (C0203056), Contrast radiography of abdominal cavity NOS (C0412054), Lower gastrointestinal procedure (C0457971), Digestive system contrast procedure (C0581467), Ambiguous concept (C1274012), Contrast enema (C1282538), Gastrointestinal tract contrast procedure (C0412087), Abdominal contrast procedure (C0581509), Duplicate concept (C1274013)
SourcesAOD, CSP, ICD9CM, NCI, PDQ, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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