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A literature review of Western publications for the reported sensitivities of single- and double-contrast gastrointestinal examinations indications that certain claims of superiority for the double-contrast technique may be optimistically misleading. Analysis of reports on detection of four entities-gastric cancer, gastric ulcer, duodenal ulcer, and colonic polyps-suggests superiority for the double-contrast barium enema for detection of colonic polyps. However, no advantage for single- or double contrast examinations was demonstrable for the detection of gastric cancer, gastric ulcer, or duodenal ulcer.
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S. C. Fiedorek, R. J. Shulman, and W. J. Klish Endoscopic Detection of Peptic Ulcer Disease in Cystic Fibrosis Clinical Pediatrics, May 1, 1986; 25(5): 243 - 246. [Abstract] [PDF] |
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