Colonoscopy versus double contrast barium enema in diagnosis of colitis

ABSTRACT

Thirty cases with clinical manifestations of colitis were chosen from the outpatients in tropical medicine and radiodiagnosis departments. They were 14 males and 16 females, their ages ranged from 15 to 65 years. All cases were subjected to complete clinical examination, double contrast barium enema and colonoscopy for some selected cases using the fiberoptic colonoscopy [14130]. The results of clinical examination revealed a variety of symptoms including diarthoea, bleeding per rectum, dysentery, flatulence and abdominal pain, some of them shows marked loss of weight. Double contrast barium enema revealed the prescence of ulcerative colilis in nine patients [30%], chronic colitis in eight patients [27%], normal radiological appearance in eleven patients [37%] with one patient having chron's disease and other having colonic polyp. Results of colonoscopy was in accordance with that of double contrast barium enema except in one case. Colonoscopy and biopsy taken revealed a specific pathology in some cases of chronic colitis which appeared normal by radiology