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One hundred randomly selected inpatients were examined with both double-contrast barium meal and endoscopy in a blinded prospective fashion. All studies were done by staff personnel, with equal clinical information available to both the radiologist and endoscopist. The final diagnosis was made by a review committee of participating radiologists and endoscopists. Endoscopy was more sensitive (92% versus 54%, p less than 0.001) and specific (100% versus 91%, p less than 0.05) than the double-contrast barium meal. Both procedures significantly affected the clinical outcome of the patient, the effect of endoscopy being significantly greater than that of the double-contrast barium meal. Although errors with the barium study related predominantly to an inability to show subtle lesions, poor patient cooperation and perceptual and technical failures were additional significant factors. Endoscopy is recommended for certain groups of patients.
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
September 1976,
British medical journal,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
January 1980,
Diagnostic imaging,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
March 1983,
Clinical radiology,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
November 1978,
Clinical radiology,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
February 1980,
JAMA,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
January 1979,
Gastrointestinal radiology,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
May 1977,
Clinical radiology,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
August 1967,
Australasian radiology,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
November 1977,
Clinical radiology,
C P Dooley, and
A W Larson, and
N H Stace, and
I G Renner, and
J E Valenzuela, and
J Eliasoph, and
P M Colletti, and
J M Halls, and
J M Weiner
November 1989,
European journal of radiology,
