Problems in the colonoscopic localization of tumors: Continued value of the barium enema

David H. Frager; Joseph D. Frager; Ellen L. Wolf; Thomas C. Beneventano

doi:10.1007/BF01885178

Problems in the colonoscopic localization of tumors: Continued value of the barium enema

David H. Frager, Joseph D. Frager, Ellen L. Wolf, Thomas C. Beneventano

Research output: Contribution to journal › Article › peer-review

43 Scopus citations

Abstract

Six patients in whom errors of diagnosis and therapy occurred because of reliance on colonoscopic tumor localization are presented. Three of the patients required a second laparotomy for surgical resection of a tumor that was missed at the first exploration. While endoscopy is regarded as the diagnostic gold standard, there are problems in its use for colonoscopic localization. Reliance on distance measurements may be misleading. Anatomical variants can be confusing. For this reason, a preoperative barium enema for precise delineation and localization of tumors is recommended. When a barium enema is not feasible, such as when a malignant polyp has been removed endoscopically, preoperative endoscopic localization with injection of India ink or intraoperative colonoscopy must be performed.

Original language	English (US)
Pages (from-to)	343-346
Number of pages	4
Journal	Gastrointestinal Radiology
Volume	12
Issue number	1
DOIs	https://doi.org/10.1007/BF01885178
State	Published - Dec 1987
Externally published	Yes

Keywords

Barium enema
Colon carcinoma, localization
Colonoscopy

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Gastroenterology

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10.1007/BF01885178

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abstract = "Six patients in whom errors of diagnosis and therapy occurred because of reliance on colonoscopic tumor localization are presented. Three of the patients required a second laparotomy for surgical resection of a tumor that was missed at the first exploration. While endoscopy is regarded as the diagnostic gold standard, there are problems in its use for colonoscopic localization. Reliance on distance measurements may be misleading. Anatomical variants can be confusing. For this reason, a preoperative barium enema for precise delineation and localization of tumors is recommended. When a barium enema is not feasible, such as when a malignant polyp has been removed endoscopically, preoperative endoscopic localization with injection of India ink or intraoperative colonoscopy must be performed.",

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AB - Six patients in whom errors of diagnosis and therapy occurred because of reliance on colonoscopic tumor localization are presented. Three of the patients required a second laparotomy for surgical resection of a tumor that was missed at the first exploration. While endoscopy is regarded as the diagnostic gold standard, there are problems in its use for colonoscopic localization. Reliance on distance measurements may be misleading. Anatomical variants can be confusing. For this reason, a preoperative barium enema for precise delineation and localization of tumors is recommended. When a barium enema is not feasible, such as when a malignant polyp has been removed endoscopically, preoperative endoscopic localization with injection of India ink or intraoperative colonoscopy must be performed.

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Problems in the colonoscopic localization of tumors: Continued value of the barium enema

Abstract

Keywords

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