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Colorectal cancer detection: time to abandon barium enema?


ABSTRACT: To assess the sensitivity of double contrast barium enema (DCBE) for diagnosing colorectal cancer (CRC).Retrospective evaluation of DCBE performed in the 2 years prior to diagnosis of CRC.Teaching hospital in Cambridge, UK.1310 consecutive cases of CRC identified from cancer registry data.DCBE and colonoscopy.Sensitivity of DCBE for diagnosing CRC.215 patients had undergone a DCBE within the 2 years prior to diagnosis with CRC. After excluding those reported as inadequate, 37 of these were reported as normal, giving a sensitivity of 83% (81-85%).The performance of DCBE is inadequate for the exclusion of CRC. Expansion of colonoscopy and CT colonography capacity is urgently required nationally so that DCBE can finally be abandoned as a firstline test in patients at risk of CRC.

SUBMITTER: Shariff MK 

PROVIDER: S-EPMC5517211 | biostudies-other | 2011 Apr

REPOSITORIES: biostudies-other

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