Abstract
Three hundred six patients with unexplained rectal bleeding were examined by colonoscopy. Significant lesions were found in 30% including polyps having a diameter of 0.5 cm or larger in 14%, carcinoma in 8%, and a small number of patients with inflammatory bowel disease, vascular formations, and radiation colitis. Colonoscopic findings in a large subgroup of patients with diverticulosis established by barium enema did not differ significantly from those of the group as a whole. Significant lesions were also identified in 22% of small subsets of patients with occult bleeding or unexplained melena.
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- COOLEY R. N., AGNEW C. H., RIOS G. Diagnostic accuracy of the barium enema study in carcinoma of the colon and rectum. Am J Roentgenol Radium Ther Nucl Med. 1960 Aug;84:316–331. [PubMed] [Google Scholar]
- Miller R. E. Detection of colon carcinoma and the barium enema. JAMA. 1974 Nov 25;230(8):1195–1198. [PubMed] [Google Scholar]
- Overholt B. F. Colonoscopy. A review. Gastroenterology. 1975 May;68(5 Pt 1):1308–1320. [PubMed] [Google Scholar]
- Schmitt M. G., Jr, Wu W. C., Geenen J. E., Hogan W. J. Diagnostic colonoscopy. An assessment of the clinical indications. Gastroenterology. 1975 Sep;69(3):765–769. [PubMed] [Google Scholar]
- Swarbrick E. T., Fevre D. I., Hunt R. H., Thomas B. M., Williams C. B. Colonoscopy for unexplained rectal bleeding. Br Med J. 1978 Dec 16;2(6153):1685–1687. doi: 10.1136/bmj.2.6153.1685. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Teague R. H., Thornton J. R., Manning A. P., Salmon P. R., Read A. E. Colonscopy for investigation of unexplained rectal bleeding. Lancet. 1978 Jun 24;1(8078):1350–1352. doi: 10.1016/s0140-6736(78)92417-0. [DOI] [PubMed] [Google Scholar]
- Tedesco F. J., Waye J. D., Raskin J. B., Morris S. J., Greenwald R. A. Colonoscopic evaluation of rectal bleeding: a study of 304 patients. Ann Intern Med. 1978 Dec;89(6):907–909. doi: 10.7326/0003-4819-89-6-907. [DOI] [PubMed] [Google Scholar]
- Thoeni R. F., Menuck L. Comparison of barium enema nad colonoscopy in the detection of small colonic polyps. Radiology. 1977 Sep;124(3):631–635. doi: 10.1148/124.3.631. [DOI] [PubMed] [Google Scholar]
- Wolff W. I., Shinya H., Geffen A., Ozoktay S., DeBeer R. Comparison of colonoscopy and the contrast enema in five hundred patients with colorectal disease. Am J Surg. 1975 Feb;129(2):181–186. doi: 10.1016/0002-9610(75)90295-0. [DOI] [PubMed] [Google Scholar]