The Diagnosis of Colitis by Colonoscopy with Biopsy and X-ray Examination. A Blind Comparative Study

Abstract
The examinations were performed in 40 outpatients, of whom 21 were women. From the rectal and colonic mucosa 185 biopsies were obtained. The X-ray examination was performed within 1 wk from the colonoscopy, using a conventional Ba enema. A complete agreement between the colonscopic diagnosis and that of the directed biopsy was found in 33 cases (80%), and minor disagreements in 3 cases. A complete agreement between the colonoscopic and X-ray diagnoses was obtained in 22 patients (55%), and minor disagreements in 16 cases, most of whom showed unspecific non-ulcerative colitis. In 3 cases with ulcerative colitis a normal colon was found by X-ray. A higher percentage of cases showed decreased haustration by X-ray examination than by colonoscopy, whereas a fairly equal percentage of ulceration was detected by the 2 methods. Erosions, mucus covering, edema, vascular injection and bleedings were not detected by X-ray examination.

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