Barium Enema in Mass Screening for Detection of Colorectal Early Cancer Hiroyuki Kobayashi 1 , Tadahiko Fuchigami 2 1Institute of Gastroenterology, Fukuoka Sanno Hospital, Fukuoka, Japan 2Institute of Gastroenterology, Matsuyama Red Cross Hospital, Matsuyama, Japan Keyword: 早期大腸癌 , 注腸X線検査 , スクリーニング , X線検査のポイント , X線検査の留意点 pp.735-744
Published Date 2010/4/30
DOI https://doi.org/10.11477/mf.1403101928
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 In recent years, the quality of radiographic film and the detectability of surface type tumors by barium enema studies have been improving by owing to developments in digital photographic equipment, newly devised preparation and high-density barium medium. Moreover, bowel preparation and pre-medication for suppression of peristaltic motion and reduction of pain in barium enema have been of great helps. The main causes of oversights in barium enema studies were misjudgments of radiographic films, intestinal spasm and insufficient barium coating of the mucosa. Overlooked lesions are able to be pointed out during re-checkups, so, by avoiding the former causes of misdiagnosis and by meticulous reading of radiographic films, the use of barium enema can be effective in group checkups for screening of early colorectal cancer.

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