Modified Small Bowel Follow-through Using Methylcellulose After Administration of Barium Suspension :Comparison with Conventional Series.
10.3348/jkrs.1998.39.1.129
- Author:
Ji Hoon SHIN
1
;
Hyun Kwon HA
;
Sung Tae PARK
;
Soo Woong YOON
;
Ho Sung KIM
;
Sun Mi KIM
;
Yoong Ki JEONG
;
Pyo Nyun KIM
;
Moon Gyu LEE
;
Yong Ho AUH
Author Information
1. Department of Diagnostic Radiology, Asan Medical Center University of Ulsan College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Enteroclysis, Intestines, radiography
- MeSH:
Barium*;
Cecum;
Flocculation;
Humans;
Incidence;
Methylcellulose*;
Sensitivity and Specificity;
Water
- From:Journal of the Korean Radiological Society
1998;39(1):129-135
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare modified small bowel follow-through (SBFT) using methylcellulose after the administrationof barium suspension with a conventional series. MATERIALS AND METHODS: In order to evaluate small bowelpathology, modified SBFT was performed in 155 patients during a 15 month period. All patients received 600mL ofmethylcellulose ; 98 had taken 250mL of 40% wt/vol barium suspension and 57 had taken 150mL of 70% barium. For thegroup of 98, the barium suspension was prepared by mixing barium powder with water (n=46) or with methylcellulosein(n=52). For comparison with a modified series, 49 patients who underwent conventional SBFT using 500mL of 40%wt/vol barium were lso included. Image quality was rated by three radiologists as "poor", "fair", "good", or"excellent". We analyzed the relationship between image quality, transit time and small bowel pathology;the sensitivity and specificity of each technique was also determined. RESULT: Among the four techniques, modifiedSBFT with 250mL of 40% wt/vol barium suspension, prepared by mixing barium powder with methylcellulose, showed thebest image quality ["excellent" result in 33 of the 52 patients (63%)] and shortest transit time to the cecum. Thehigh image quality of this technique was not affected by the presence of small bowel pathology;its use resulted inthe lowest incidence and slowest development of flocculation. The sensitivity (91-95%) of the three modified SBFTprocedures was superior to that of a conventional series(76%), but there was no difference in specificity. CONCLUSION: Modified SBFT using methylcellulose after administering barium suspension with barium powder as amixing agent is a simple technique. Its use easily improves the image quality and diagnostic accuracy of peroralSBFT.
