PMID: 589918Nov 1, 1977

The two-film barium meal in the exclusion of coeliac disease

Clinical Radiology
S E Smith, J M Littlewood

Abstract

Prospective experience over five years is described in assessing the two-film barium meal as a test for the exclusion of untreated celiac disease in children in order to try to make jejunal biopsy unnecessary. 287 meals were examined in children between 3 months and 10 years of age with a variety of gastro-intestinal symptoms and signs that might be attributed to celiac disease. From the two-film barium meal the calibre and transverse mucosal folds of the upper small bowel were measured. In 48 children with untreated coeliace disease there were only three (6%) with negative two-film barium meals. In 45 children with malabsorption from causes other than coeliac disease, there were four (9%) with negative two-film barium meals. It is concluded that the two-film barium meal is a reasonably reliable test for the exclusion of untreated coeliac disease in children. It is simple, cheap, safe and economical of radiological time, and it compares favourably in accuracy with other screening tests, other than jejunal biopsy.

References

Jul 1, 1975·Archives of Disease in Childhood·M C SandersonA P Mowat
Nov 1, 1974·Clinical Science and Molecular Medicine·B E WalkerM S Losowsky
May 1, 1973·Archives of Disease in Childhood·G L Barnes, R R Townley
Dec 1, 1966·Archives of Disease in Childhood·C M ANDERSON
May 1, 1970·Acta paediatrica Scandinavica·J K VisakorpiP Pelkonen
Oct 1, 1952·The British Journal of Radiology·C M ANDERSONJ W GERRARD
Jul 18, 1964·British Medical Journal·W M MCCRAE, E M SWEET
Mar 1, 1965·The British Journal of Radiology·D E PATERSONS J BAKER
May 18, 1963·British Medical Journal·J W LawsJ S Stewart

Citations

Jan 1, 1988·International Quarterly of Community Health Education·Marian McDonald

Related Concepts

Barium Sulfate (2: 1)
Celiac Disease
Differential Diagnosis
Diagnostic Radiologic Examination

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