II. 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 342:1766-72 [PubMed]

III. Advantages

  1. Costs 50% of Colonoscopy

IV. Adverse Effects

  1. Complication Rate 1:5000

V. Disadvantages

  1. Poorly visualizes rectal area
  2. Best done in combination endoscopy
    1. Flexible Sigmoidoscopy
    2. Proctoscopy

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Ontology: Lower gastrointestinal tract contrast procedure (C0203075)

Definition (NCI_NCI-GLOSS) A procedure in which a liquid that contains barium sulfate is put through the anus into the rectum and colon. Barium sulfate is a silver-white metallic compound that helps show pictures of the colon, rectum, and anus on an x-ray.
Definition (NCI) Injection of a barium-containing contrast medium through the anus and into the lower gastrointestinal tract so that X-rays can be taken in order to identify lesions and other abnormal growths.
Concepts Diagnostic Procedure (T060)
ICD9 87.64
SnomedCT 265068003, 145992004, 74140007, 168836005, 303758005
LNC LA15469-2
Italian Clisma opaco, Esame radiologico seriato del tratto digestivo inferiore
English Barium Enema, Barium Enema Injection, Lower GITcontrast procedure, Lower GI series (procedure), Lower gastrointestinal series, Lower gastrointestinal series (procedure), barium enema, X-ray barium enema, lower gastrointestinal series, barium enema (procedure), lower gi series procedure, barium enema procedure, barium enemas, barium enema procedures, lower gi series, lower GI series, Barium enema, Lower GI series, Radiologic examination of colon with barium, BA - Barium enema, BE - Barium enema, Lower gastrointestinal tract contrast procedure, Lower gastrointestinal tract contrast procedure (procedure), Barium enema (procedure), Barium enema, NOS, Barium enema (procedure) [Ambiguous], Lower GI Series, Lower Gastrointestinal Series
Dutch onderste maagdarmstelselreeks, bariumklysma
French Clichés en série des différents segments du tractus gastro-intestinal, Lavement baryté
German Serienaufnahmen des unteren GI-Traktes, Bariumeinlauf
Portuguese Série GI baixa, Enema baritado
Spanish Serie radiográfica del tracto gastrointestinal inferior, examen radiológico del colon con bario, enema baritado, enema de bario (concepto no activo), enema de bario (procedimiento), enema de bario, procedimiento con medio de contraste en el tracto gastrointestinal inferior (procedimiento), procedimiento con medio de contraste en el tracto gastrointestinal inferior, seriada gastrointestinal inferior (procedimiento), seriada gastrointestinal inferior, Enema de bario
Japanese 下部消化管造影, バリウム注腸, バリウムチュウチョウ, カブショウカカンゾウエイ
Czech RTG pasáž dolního gastrointestinálního traktu, Baryový nálev
Hungarian GI rendszer alsó szakasza vizsgálatsorozat, Bárium beöntés