The use of air or CO2 as insufflation agents for double contrast barium enema (DCBE): is there a qualitative difference?

One hundred consecutive out-patients referred for double contrast barium enema (DCBE) were randomized in a double-blind prospective study to receive either air or CO2 as an insufflation agent. Each examination was performed by the same radiologist and radiographer. The two groups were equally matche...

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Published inClinical radiology Vol. 50; no. 8; pp. 558 - 561
Main Authors SCULLION, D. A, WETTON, C. W. N, DAVIES, C, WHITAKER, L, SHORVON, P. J
Format Journal Article
LanguageEnglish
Published Amsterdam Elsevier 01.08.1995
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Abstract One hundred consecutive out-patients referred for double contrast barium enema (DCBE) were randomized in a double-blind prospective study to receive either air or CO2 as an insufflation agent. Each examination was performed by the same radiologist and radiographer. The two groups were equally matched for age and sex. Each completed examination was independently assessed by three radiologists for a variety of parameters. The results show that the patients receiving air as an insufflation agent had better overall colonic distension than the group receiving CO2 and that this was statistically significant (P = 0.0004). There was no significant difference in the mean time taken to perform the examination in the two groups nor was there any significant difference in mucosal coating or preparation. In conclusion, our results suggest that poor colonic distension is a potential problem when CO2 is used for DCBE and that this cannot be solely attributed to the time taken to perform the examination. Poor distension could lead to diagnostic errors and this may outweigh the advantages in patient acceptability when using CO2 as an insufflation agent.
AbstractList One hundred consecutive out-patients referred for double contrast barium enema (DCBE) were randomized in a double-blind prospective study to receive either air or CO2 as an insufflation agent. Each examination was performed by the same radiologist and radiographer. The two groups were equally matched for age and sex. Each completed examination was independently assessed by three radiologists for a variety of parameters. The results show that the patients receiving air as an insufflation agent had better overall colonic distension than the group receiving CO2 and that this was statistically significant (P = 0.0004). There was no significant difference in the mean time taken to perform the examination in the two groups nor was there any significant difference in mucosal coating or preparation. In conclusion, our results suggest that poor colonic distension is a potential problem when CO2 is used for DCBE and that this cannot be solely attributed to the time taken to perform the examination. Poor distension could lead to diagnostic errors and this may outweigh the advantages in patient acceptability when using CO2 as an insufflation agent.
Author WETTON, C. W. N
SHORVON, P. J
WHITAKER, L
SCULLION, D. A
DAVIES, C
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Cites_doi 10.1016/S0009-9260(05)80866-9
10.1016/S0009-9260(84)80020-3
10.1111/j.1749-6632.1968.tb19024.x
10.1259/0007-1285-59-698-190
10.1016/S0009-9260(89)80223-5
10.1259/0007-1285-66-783-197
10.1148/radiology.157.1.3929328
10.1148/radiology.176.2.2195596
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Keywords Human
Radiodiagnosis
Barium enema
Carbon dioxide
Exploration
Air
Technique
Double contrast
Comparative study
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References 8641110 - Clin Radiol. 1996 May;51(5):382
8641109 - Clin Radiol. 1996 May;51(5):382
8641111 - Clin Radiol. 1996 May;51(5):382
8893652 - Clin Radiol. 1996 Oct;51(10):741-2
Taylor (10.1016/S0009-9260(05)83192-7_bib2) 1991; 44
Bartram (10.1016/S0009-9260(05)83192-7_bib8) 1984; 35
Robson (10.1016/S0009-9260(05)83192-7_bib3) 1993; 66
Grant (10.1016/S0009-9260(05)83192-7_bib6) 1986; 59
Coblentz (10.1016/S0009-9260(05)83192-7_bib4) 1985; 157
Forster (10.1016/S0009-9260(05)83192-7_bib1) 1968; 150
Marshall (10.1016/S0009-9260(05)83192-7_bib7) 1990; 176
Bartram (10.1016/S0009-9260(05)83192-7_bib5) 1989; 40
References_xml – volume: 44
  start-page: 183
  year: 1991
  ident: 10.1016/S0009-9260(05)83192-7_bib2
  article-title: Use of air in double-contrast barium enema — is it still acceptable?
  publication-title: Clinical Radiology
  doi: 10.1016/S0009-9260(05)80866-9
  contributor:
    fullname: Taylor
– volume: 35
  start-page: 143
  year: 1984
  ident: 10.1016/S0009-9260(05)83192-7_bib8
  article-title: Washout versus nonwashout (Picolax) preparation for double-contrast barium enemas
  publication-title: Clinical Radiology
  doi: 10.1016/S0009-9260(84)80020-3
  contributor:
    fullname: Bartram
– volume: 150
  start-page: 4
  year: 1968
  ident: 10.1016/S0009-9260(05)83192-7_bib1
  article-title: Physiological basis of gas exchange in the gut
  publication-title: Annals of the NY Academy of Science
  doi: 10.1111/j.1749-6632.1968.tb19024.x
  contributor:
    fullname: Forster
– volume: 59
  start-page: 190
  year: 1986
  ident: 10.1016/S0009-9260(05)83192-7_bib6
  article-title: A preliminary study of the possible benefits of using carbon dioxide insufflation during doublecontrast barium enema
  publication-title: British Journal of Radiology
  doi: 10.1259/0007-1285-59-698-190
  contributor:
    fullname: Grant
– volume: 40
  start-page: 318
  year: 1989
  ident: 10.1016/S0009-9260(05)83192-7_bib5
  article-title: Technical note: a simple method for using carbon dioxide during double contrast barium enema
  publication-title: Clinical Radiology
  doi: 10.1016/S0009-9260(89)80223-5
  contributor:
    fullname: Bartram
– volume: 66
  start-page: 197
  year: 1993
  ident: 10.1016/S0009-9260(05)83192-7_bib3
  article-title: The use of carbon dioxide as an insufflation agent in barium enema — does it have a role?
  publication-title: British Journal of Radiology
  doi: 10.1259/0007-1285-66-783-197
  contributor:
    fullname: Robson
– volume: 157
  start-page: 35
  year: 1985
  ident: 10.1016/S0009-9260(05)83192-7_bib4
  article-title: Pain after barium enema: effect of CO2 and air on double-contrast study
  publication-title: Radiology
  doi: 10.1148/radiology.157.1.3929328
  contributor:
    fullname: Coblentz
– volume: 176
  start-page: 549
  year: 1990
  ident: 10.1016/S0009-9260(05)83192-7_bib7
  article-title: Air-contrast barium enema studies after flexible proctosigmoidoscopy: randomised controlled clinical trial
  publication-title: Radiology
  doi: 10.1148/radiology.176.2.2195596
  contributor:
    fullname: Marshall
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StartPage 558
SubjectTerms Adult
Aged
Air
Barium Sulfate
Biological and medical sciences
Carbon Dioxide
Colon - physiology
Digestive system
Double-Blind Method
Enema - methods
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Pneumoradiography - methods
Prospective Studies
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Title The use of air or CO2 as insufflation agents for double contrast barium enema (DCBE): is there a qualitative difference?
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