{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T14:51:00Z","timestamp":1765637460768,"version":"3.48.0"},"reference-count":6,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1986,2]]},"abstract":"<jats:p>All 1358 referrals for barium enemas at Bristol Royal Infirmary in 1981 were studied. The overall diagnostic yield for colonic or distal ileal pathology was 33% with 75 (5.5%) cancers detected. General practitioner requested enemas constituted 25.8% of the total undertaken and their diagnostic yield was equal to hospital outpatient requested enemas. Medical and surgical diagnostic yields were similar for both inpatient and outpatients though the indications varied. Women predominated by 3:2 in all age groups. In the under 40's the yield was low (19.8%) except for inflammatory bowel disease. When related to symptoms the lowest yield was obtained for the investigation of abdominal pain (25%), particularly in women, except in those admitted as inpatients. The clinicians were wrong in diagnosing abdominal or pelvic masses as being of colonic origin in over 50% of cases. It is suggested that yield could be improved by being more selective in patients under 40, more use being made of suitable faecal occult blood testing, and ultrasonic scanning of abdominal masses before barium enema.<\/jats:p>","DOI":"10.1136\/gut.27.2.182","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"182-185","source":"Crossref","is-referenced-by-count":7,"title":["Audit on the use of the barium enema."],"prefix":"10.1136","volume":"27","author":[{"given":"K D","family":"Vellacott","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Virjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1986,2,1]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Controlled trial of faecal occult blood testing in the detection of colorectal cancer","volume":"2","author":"Hardcastle, J.D.; Farrands, P.A.; Chamberlain, J.; Balfour, T.W.; Amar, S.S.; Sheldon, M.G.","year":"1983","unstructured":"Hardcastle JD, Farrands PA, Chamberlain J, Balfour TW, Amar SS, Sheldon MG. Controlled trial of faecal occult blood testing in the detection of colorectal cancer. Lancet 1983; 2: 1-4 References","journal-title":"Lancet"},{"key":"ref_2","first-page":"1","article-title":"Carcinoma of the large bowel in the first four decades","volume":"71","author":"Umpleby, H.C.; Williamson, R.C.N.","year":"1984","unstructured":"Umpleby HC, Williamson RCN. Carcinoma of the large bowel in the first four decades. Br J Surg 1984; 71: 1 Chapman S, Nakienly R. A guide to radiological 272-7. procedures. London: Bailliere Tindall, 1981: 28-32.","journal-title":"Br J Surg; A guide to radiological 272-7. procedures"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"\"1583","DOI":"10.1136\/bmj.283.6306.1583","article-title":"An evaluation of flexible obstructing colorectal carcinoma. Dis Colon Rectum fibreoptic sigmoidoscopy","volume":"283","author":"Vellacott, K.D.; Hardcastle, J.D.","year":"1981","unstructured":"Vellacott KD, Hardcastle JD. An evaluation of flexible obstructing colorectal carcinoma. Dis Colon Rectum fibreoptic sigmoidoscopy. Br Med J 1981; 283: 1583-6. 1984; 27: 299-304.","journal-title":"Br Med J"},{"key":"ref_4","first-page":"436","article-title":"TW, 10 Schabel SL, Rittenberg GM, Johnson EG. Carcinoma Hardcastle JD. Flexible fibreoptic sigmoidoscopy and of the colon demonstrated by ultrasound","volume-title":"Clin double contrast barium enema in the identification of Ultrasound","volume":"6","author":"Farrands, P.A.; Vellacott, K.D.; Amar, S.S.; Balfour","year":"1978","unstructured":"Farrands PA, Vellacott KD, Amar SS, Balfour TW, 10 Schabel SL, Rittenberg GM, Johnson EG. Carcinoma Hardcastle JD. Flexible fibreoptic sigmoidoscopy and of the colon demonstrated by ultrasound. J Clin double contrast barium enema in the identification of Ultrasound 1978; 6: 436-7."},{"key":"ref_5","first-page":"168","article-title":"A survey of double contrast Colon Rectum","volume":"27","author":"Stoddart, P.G.P.; Virjee, J.","year":"1984","unstructured":"Stoddart PGP, Virjee J. A survey of double contrast Colon Rectum 1984; 27: 168-71."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1055\/s-2007-1021584","volume":"14","author":"Boulos, P.B.; Karamanolis, D.G.; Salmon, P.R.; Clark, C.G.","year":"1982","unstructured":"Boulos PB, Karamanolis DG, Salmon PR, Clark CG. Endoscopy 1982; 14: 74-8.","journal-title":"Endoscopy"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.27.2.182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T14:47:46Z","timestamp":1765637266000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.27.2.182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,2]]},"references-count":6,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1986,2,1]]},"published-print":{"date-parts":[[1986,2]]}},"alternative-id":["10.1136\/gut.27.2.182"],"URL":"https:\/\/doi.org\/10.1136\/gut.27.2.182","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"type":"print","value":"0017-5749"},{"type":"electronic","value":"1468-3288"}],"subject":[],"published":{"date-parts":[[1986,2]]}}}