Diverticular disease: Imaging with post-double-contrast sigmoid flush

J. C. Lappas, D. D T Maglinte, K. K. Kopecky, E. M. Cockerill, Glen Lehman

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

In a prospective study, the effect of infusion of a low-density contrast material was evaluated as an adjunct to high-density, double-contrast imaging of the sigmoid colon. After double-contrast barium enema (DCBE) study, 52 consecutive patients with sigmoid diverticulosis received an additional 500-750-mL enema either with water or a 1.5% barium suspension for computed tomography. Rectosigmoid radiographs were evaluated for luminal distention, visualization of the interhaustral space, definition of diverticula, and interpretation of polypoid defects. While double-contrast views were excellent in 21% of patients, improvement in multiple factors by water or 1.5% barium flush resulted in improved sigmoid images in 65% and 75% of patients, respectively. Polyps were confirmed and artifactual defects confidently excluded. Sigmoid flush, particularly with los-density barium, is a simple adjunct to DCBE study that improves visualization of the diverticular sigmoid and increases interpretive confidence.

Original languageEnglish
Pages (from-to)35-37
Number of pages3
JournalRadiology
Volume168
Issue number1
StatePublished - 1988

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Sigmoid Colon
Barium
Diverticulum
Water
Enema
Polyps
Contrast Media
Suspensions
Tomography
Prospective Studies
Barium Enema

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Lappas, J. C., Maglinte, D. D. T., Kopecky, K. K., Cockerill, E. M., & Lehman, G. (1988). Diverticular disease: Imaging with post-double-contrast sigmoid flush. Radiology, 168(1), 35-37.

Diverticular disease : Imaging with post-double-contrast sigmoid flush. / Lappas, J. C.; Maglinte, D. D T; Kopecky, K. K.; Cockerill, E. M.; Lehman, Glen.

In: Radiology, Vol. 168, No. 1, 1988, p. 35-37.

Research output: Contribution to journalArticle

Lappas, JC, Maglinte, DDT, Kopecky, KK, Cockerill, EM & Lehman, G 1988, 'Diverticular disease: Imaging with post-double-contrast sigmoid flush', Radiology, vol. 168, no. 1, pp. 35-37.
Lappas JC, Maglinte DDT, Kopecky KK, Cockerill EM, Lehman G. Diverticular disease: Imaging with post-double-contrast sigmoid flush. Radiology. 1988;168(1):35-37.
Lappas, J. C. ; Maglinte, D. D T ; Kopecky, K. K. ; Cockerill, E. M. ; Lehman, Glen. / Diverticular disease : Imaging with post-double-contrast sigmoid flush. In: Radiology. 1988 ; Vol. 168, No. 1. pp. 35-37.
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