Spectrum of findings on barium enema examination in Benin City

Background: In the Western world, barium enema has largely been replaced by computed tomographic (CT) colonography or virtual colonoscopy using the three-dimensional fly-through software. But barium enema remains relevant in our environment because of its availability and affordable cost as compared...

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Main Authors: Sam U Enukegwu, Festus O Ehigiamusoe, Anthony O Ogbeide
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:International Journal of Medicine and Health Development
Subjects:
Online Access:http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2019;volume=24;issue=1;spage=35;epage=39;aulast=Enukegwu
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author Sam U Enukegwu
Festus O Ehigiamusoe
Anthony O Ogbeide
author_facet Sam U Enukegwu
Festus O Ehigiamusoe
Anthony O Ogbeide
author_sort Sam U Enukegwu
collection DOAJ
description Background: In the Western world, barium enema has largely been replaced by computed tomographic (CT) colonography or virtual colonoscopy using the three-dimensional fly-through software. But barium enema remains relevant in our environment because of its availability and affordable cost as compared to cross-sectional imaging. Aim: To document the common pathologies seen on barium enema examinations in Benin City, Nigeria. Materials and Methods: All cases of barium enema performed at St. Bridget X-Ray Centre, a private radio-diagnostic outfit in Benin City, between January 2013 and December 2014, were retrospectively reviewed. The biodata, clinical information, and radiological diagnoses were collated and entered into the Statistical Package for Social Sciences (SPSS) software and then analyzed. Those with inadequate details were excluded from the study. Results: Two hundred and sixteen patients who had barium enema for various indications were reviewed; the males were 135 (62.5%), whereas the females were 81 (37.5%). Constipation (53, 23.0%) was the most common clinical indication, followed by hematochezia (50, 21.7%), abdominal pain (32, 13.9%), colorectal mass (26, 11.3%), and abdominal swelling (12, 5.2%). Colonic carcinoma (39, 20.8%) was the most common diagnosis on barium enema. This was followed by Hirschsprung’s disease (20, 15.4%), ulcerative colitis (15, 11.5%), megacolon (12, 9.2%), and colonic stricture (11, 6.2%). These findings were more in males (88, 67.7%) than that in females (42, 32.3%). Conclusion: This study has enumerated the common indications and common radiological findings on barium enema study in our environment. Furthermore, this study has also buttressed the fact that barium enema is still reliable in making diagnosis in environment where CT scan is either unavailable or costly.
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spelling doaj.art-6bef01fc80e748c5976ddead3de78b3d2022-12-22T02:49:39ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952019-01-01241353910.4103/ijmh.IJMH_11_19Spectrum of findings on barium enema examination in Benin CitySam U EnukegwuFestus O EhigiamusoeAnthony O OgbeideBackground: In the Western world, barium enema has largely been replaced by computed tomographic (CT) colonography or virtual colonoscopy using the three-dimensional fly-through software. But barium enema remains relevant in our environment because of its availability and affordable cost as compared to cross-sectional imaging. Aim: To document the common pathologies seen on barium enema examinations in Benin City, Nigeria. Materials and Methods: All cases of barium enema performed at St. Bridget X-Ray Centre, a private radio-diagnostic outfit in Benin City, between January 2013 and December 2014, were retrospectively reviewed. The biodata, clinical information, and radiological diagnoses were collated and entered into the Statistical Package for Social Sciences (SPSS) software and then analyzed. Those with inadequate details were excluded from the study. Results: Two hundred and sixteen patients who had barium enema for various indications were reviewed; the males were 135 (62.5%), whereas the females were 81 (37.5%). Constipation (53, 23.0%) was the most common clinical indication, followed by hematochezia (50, 21.7%), abdominal pain (32, 13.9%), colorectal mass (26, 11.3%), and abdominal swelling (12, 5.2%). Colonic carcinoma (39, 20.8%) was the most common diagnosis on barium enema. This was followed by Hirschsprung’s disease (20, 15.4%), ulcerative colitis (15, 11.5%), megacolon (12, 9.2%), and colonic stricture (11, 6.2%). These findings were more in males (88, 67.7%) than that in females (42, 32.3%). Conclusion: This study has enumerated the common indications and common radiological findings on barium enema study in our environment. Furthermore, this study has also buttressed the fact that barium enema is still reliable in making diagnosis in environment where CT scan is either unavailable or costly.http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2019;volume=24;issue=1;spage=35;epage=39;aulast=Enukegwubarium enemafluoroscopypathology
spellingShingle Sam U Enukegwu
Festus O Ehigiamusoe
Anthony O Ogbeide
Spectrum of findings on barium enema examination in Benin City
International Journal of Medicine and Health Development
barium enema
fluoroscopy
pathology
title Spectrum of findings on barium enema examination in Benin City
title_full Spectrum of findings on barium enema examination in Benin City
title_fullStr Spectrum of findings on barium enema examination in Benin City
title_full_unstemmed Spectrum of findings on barium enema examination in Benin City
title_short Spectrum of findings on barium enema examination in Benin City
title_sort spectrum of findings on barium enema examination in benin city
topic barium enema
fluoroscopy
pathology
url http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2019;volume=24;issue=1;spage=35;epage=39;aulast=Enukegwu
work_keys_str_mv AT samuenukegwu spectrumoffindingsonbariumenemaexaminationinbenincity
AT festusoehigiamusoe spectrumoffindingsonbariumenemaexaminationinbenincity
AT anthonyoogbeide spectrumoffindingsonbariumenemaexaminationinbenincity