Radiology, Vol 155, 31-34, Copyright © 1985 by Radiological Society of North America

ARTICLES

Detailed per-oral small bowel examination vs. enteroclysis. Part II: Radiographic accuracy

DJ Ott, YM Chen, DW Gelfand, F Van Swearingen and HA Munitz

Accuracy of the detailed per-oral small bowel series and enteroclysis was compared in 134 patients known to have (or not have) disease of the small bowel. Overall sensitivity of the per-oral examination was 92% and specificity 94%, compared to 94% and 89%, respectively, for enteroclysis. There was no difference between the two in Crohn disease, adhesions, and metastatic disease; however, enteroclysis was thought to be more effective in delineating peritoneal adhesions in patients with obstruction. The authors conclude that while the per-oral study and enteroclysis are equally valid methods of examining the small bowel, the per-oral study is preferable as a screening examination because it requires less time, has fewer side effects, and involves a lower radiation exposure.

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