A Choice of Colonoscopy and Barium Enema at the Diagnosis and Follow-up of Inflammatory Colonic Diseases Nobuo Hiwatashi 1 1The Third Department of Internal Medicine, Tohoku University School of Medicine Keyword: 潰瘍性大腸炎 , Crohn病 , 大腸内視鏡検査 , 注腸X線検査 pp.755-764
Published Date 1998/4/25
DOI https://doi.org/10.11477/mf.1403103695
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 When inflammatory colonic diseases are suspected, it is important to listen first to the detailed history of symptoms. We can differentiate many diseases by merely hearing the symptoms. Also, as a rule, stool culture should be examined. Next, sigmoid colonoscopy without preparation should be carried out in order to clarify whether the patient has ulcerative colitis or not. When it is a definite case of ulcerative colitis, treatment precedes investigation of extension of the lesion. If it is necessary to observe the extension or severity of the proximal colon, total colonoscopy or barium enema should be used. Surveillance colonoscopy should be performed under oral lavage preparation. When Crohn's disease is suspected, radiography can easily reveal the overall condition and the localization of the lesions. However, at the first visit, the whole alimentary tract should be examined endoscopically and radiographically. These examinations complement each other, so we usually use both examinations according to the activity or the stage of development of the inflammatory colonic disease.

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