Barium Enema and Endoscopy for the Detection of Colorectal Neoplasia: Sensitivity, Specificity, Complications and its Determinants

Zwart, Ingrid M. de; Griffioen, G.; Shaw, Melody; Lamers, C. B. H. W.; Roos, Albert de

doi:10.1053/crad.2000.0672

Cited by 48 publications

(15 citation statements)

References 95 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The limits of colonoscopy are also shown in many other studies: 15% of adenomas >10 mm in diameter are missed by this procedure [8]. If all polyps (whether neoplastic or not) are considered, then the percentage of missed polyps is 48% [9].…”

Section: Rectal Sigmoidoscopymentioning

confidence: 59%

Sensitivity of diagnostic examinations for colorectal polyps

Menardo

2004

Tech Coloproctol

View full text Add to dashboard Cite

The removal of adenomatous polyps of the large bowel reduces mortality from colorectal cancer (CRC). Faecal occult blood testing only reveals 20.40% of polyps. The flexible rectosigmoidoscope explores less than half of the large bowel. Its use should always be coupled with faecal occult blood testing which, if positive, requires a total colonoscopy. The sensitivity of double-contrast barium enema for the search of polyps is 35%. Colonoscopy does not reach the caecum in about 10% of cases. It misses 15-20% of polyps with diameter <10 mm and about 6% of polyps with diameter >10 mm. Virtual colonoscopy has substantially the same sensitivity as optical colonoscopy for polyps > or =7 mm in diameter.

show abstract

Section: Rectal Sigmoidoscopymentioning

confidence: 59%

Sensitivity of diagnostic examinations for colorectal polyps

Menardo

2004

Tech Coloproctol

View full text Add to dashboard Cite

show abstract

“…Further, the existing literature describing the test performance of DCBE also is limited by study designs that are retro- Polyps, 2008 spective and commonly do not report findings from an asymptomatic or average-risk population. 135,136 In some reports, asymptomatic individuals were selected for investigation during neoplasm surveillance or after a prior screening test (eg, FSIG or FOBT). Finally, similar to the literature related to other CRC screening technologies, the DCBE literature varies considerably in terms of measurement and outcome metrics (ie, polyps, cancers, all neoplasms, adenomas, size categorizations, etc.…”

Section: Dcbementioning

confidence: 99%

Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology

Levin

Lieberman

McFarland

et al. 2008

CA: A Cancer Journal for Clinicians

1,567

916

View full text Add to dashboard Cite

In the United States, colorectal cancer (CRC) is the third most common cancer diagnosed among men and women and the second leading cause of death from cancer. CRC largely can be prevented by the detection and removal of adenomatous polyps, and survival is significantly better when CRC is diagnosed while still localized. In 2006 to 2007, the American Cancer Society, the US Multi Society Task Force on Colorectal Cancer, and the American College of Radiology came together to develop consensus guidelines for the detection of adenomatous polyps and CRC in asymptomatic average-risk adults. In this update of each organization's guidelines, screening tests are grouped into those that primarily detect cancer early and those that can detect cancer early and also can detect adenomatous polyps, thus providing a greater potential for prevention through polypectomy. When possible, clinicians should make patients aware of the full range of screening options, but at a minimum they should be prepared to offer patients a choice between a screening test that is effective at both early cancer detection and cancer prevention through the detection and removal of polyps and a screening test that primarily is effective at early cancer detection. It is the strong opinion of these 3 organizations that colon cancer prevention should be the primary goal of screening. (CA Cancer J Clin 2008;58:130-160.)

show abstract

“…A systematic review of studies of the accuracy of double contrast barium enema and colonoscopy found that colonoscopy is significantly more sensitive than barium enema for the detection of both colorectal cancer and polyps, but barium enema is associated with a much lower risk of complications. 47 A large retrospective study from a UK teaching hospital came to similar conclusions. 48 CT colonography (also known as ''virtual colonoscopy'') is a relatively new diagnostic technology requiring expertise in its use.…”

Section: Diagnosismentioning

confidence: 68%

Management of colorectal cancers

Lewis

2004

Quality and Safety in Health Care

View full text Add to dashboard Cite

Barium Enema and Endoscopy for the Detection of Colorectal Neoplasia: Sensitivity, Specificity, Complications and its Determinants

Cited by 48 publications

References 95 publications

Sensitivity of diagnostic examinations for colorectal polyps

Sensitivity of diagnostic examinations for colorectal polyps

Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology

Management of colorectal cancers

Contact Info

Product

Resources

About