Colonoscopy as a primary diagnostic procedure in chronic gastrointestinal tract bleeding.

Journal Article (Journal Article)

We compared the use of barium enema (BE) and colonoscopy in evaluating patients with chronic gastrointestinal tract bleeding by dividing into three groups 329 consecutive colonoscopies and 207 consecutive BE examinations done with chronic gastrointestinal tract bleeding as an indication. In the first group, of 96 patients with negative results of BE studies, subsequent colonoscopy showed carcinoma of the colon in 16%, polyps larger than 1 cm in 21%, and other causes in 20%. In 43% the colonoscopy gave negative results or was incomplete. In the other two groups we directly compared findings of the 207 BE and the 233 remaining colonoscopies when each was used as a primary diagnostic test. Colonoscopy was found to have fewer negative results (74% vs 43%), fewer inconclusive examinations requiring repeat (19% vs 3%), and more positive correct findings to explain the cause of bleeding (54% vs 5%).

Full Text

Duke Authors

Cited Authors

  • Maxfield, RG; Maxfield, CM

Published Date

  • April 1986

Published In

Volume / Issue

  • 121 / 4

Start / End Page

  • 401 - 403

PubMed ID

  • 3485419

International Standard Serial Number (ISSN)

  • 0004-0010

Digital Object Identifier (DOI)

  • 10.1001/archsurg.1986.01400040037004


  • eng

Conference Location

  • United States