Primary malignant tumors in the small bowel: a comparison of the small-bowel enema and conventional follow-through examination

Department of Radiology Education, Methodist Hospital of Indiana, Indianapolis 46202.

Of 71 patients diagnosed with primary mesenteric malignant tumors in the small bowel over a 21-year period in a community/teaching hospital, 14 underwent small-bowel follow-through, 16 underwent small-bowel enema (enteroclysis), and four patients underwent both studies preoperatively. In a retrospective study, the sensitivity of both the small-bowel enema and the conventional small-bowel follow-through examination were compared on the basis of the original radiologic interpretation. The studies were ordered by clinicians in a clinical setting. Results of the small-bowel follow-through were abnormal in 11 of 18 patients for a sensitivity of 61%, and small-bowel enema showed abnormalities in 19 of 20 patients for a sensitivity of 95% (p = .0165). The actual tumor was shown in six (33%) of 18 small-bowel follow-through studies and in 18 (90%) of 20 small-bowel enemas (p = .0005). In four patients, normal findings on conventional small-bowel follow-through were followed by abnormal findings on small-bowel enema done for the same reason. This experience suggests that the small-bowel enema is more sensitive than the conventional follow-through examination for the detection of small-bowel cancers.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				L. Tarantino, V. Nocera, M. Perrotta, G. Balsamo, A. Schiano, P. Orabona, I. F. M. Sordelli, C. Ripa, D. Parmeggiani, and P. Sperlongano Primary Small-Bowel Melanoma: Color Doppler Ultrasonographic, Computed Tomographic, and Radiologic Findings With Pathologic Correlations J. Ultrasound Med., January 1, 2007; 26(1): 121 - 127. [Full Text] [PDF]

				A C Planner, A Phillips, and H K Bungay The role of imaging in small bowel disease Imaging, December 1, 2006; 18(4): 228 - 256. [Abstract] [Full Text] [PDF]

				A. K. Hara, J. A. Leighton, V. K. Sharma, R. I. Heigh, and D. E. Fleischer Imaging of Small Bowel Disease: Comparison of Capsule Endoscopy, Standard Endoscopy, Barium Examination, and CT RadioGraphics, May 1, 2005; 25(3): 697 - 711. [Abstract] [Full Text] [PDF]

				D. D. T. Maglinte Invited Commentary RadioGraphics, May 1, 2005; 25(3): 711 - 718. [Full Text] [PDF]

				K. M. Horton, I. Kamel, L. Hofmann, and E. K. Fishman Carcinoid Tumors of the Small Bowel: A Multitechnique Imaging Approach Am. J. Roentgenol., March 1, 2004; 182(3): 559 - 567. [Full Text] [PDF]

				S. Suleiman and A. Sonnenberg Cost-effectiveness of Endoscopy in Irritable Bowel Syndrome Arch Intern Med, February 12, 2001; 161(3): 369 - 375. [Abstract] [Full Text] [PDF]